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ELMINA JOHNSON
NPI 1891736260
Nurse Practitioner - Family in Jackson, MS

Active since June 09, 2006
3502 W NORTHSIDE DR, JACKSON, MS 39213(601) 362-5321(601) 364-2600 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elmina Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELMINA JOHNSON (NPI 1891736260) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R133690) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1891736260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELMINA JOHNSON
Location Address3502 W NORTHSIDE DRJackson, MS 39213-4454
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321 · Fax (601) 364-2600
Phone(601) 362-5321
Fax(601) 364-2600
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1891736260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R133690
3502 W NORTHSIDE DR, Jackson, MS 39213
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Other Identifiers 2

Medicaid00115564MS
Medicare UPINP30296MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFANI RICCHELE MCKNIGHT
Social Worker (Clinical)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
KATRICE PACLEY ANDREWS FNP-C
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ERICIA LATRICE CANNON NURSE PRACTITONER
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
JEQUETTA SHUREKA ILION MCLAURIN FNP
Nurse Practitioner (Family)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION, INC.
Clinic/Center (Physical Therapy)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CHAD ALLEN RHODEN MD
Family Medicine
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
ANNIE MCCLINE
Dental Hygienist
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321
CANDICE COLEMAN NP-C
Nurse Practitioner (Adult Health)
3502 W NORTHSIDE DR
JACKSON, MS 39213
Hinds County (601) 362-5321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elmina Johnson's NPI number?

The NPI number for Elmina Johnson is 1891736260. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Elmina Johnson located?

Elmina Johnson practices at 3502 W Northside Dr, Jackson, MS 39213. The listed phone number is (601) 362-5321.

What is Elmina Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Elmina Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.