MRS. DEIDRE JOHNSON (NPI# 1730743329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730743329 |
| Entity Type | Individual |
| Full Name | MRS. DEIDRE JOHNSON |
| Credential | NP-C |
| Practice Address |
1050 River Oaks Dr Ste 100 Flowood MS 39232 |
| Mailing Address |
1050 River Oaks Dr Ste 100 Flowood MS 39232-9564 |
| Practice Telephone | 6012004760 |
| Mailing Telephone | 6012004760 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902787 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 228 Hidden Hills Pkwy, Brandon, MS 390475136 | 6017600821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1790202240 | Deidre Johnson | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2017-08-25 |
| 1659614584 | Deidre Johnson | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2013-03-28 |
| 1578751236 | Deidre Ann Johnson | Physical Therapist | 119 W 23rd St, #1002, New York, NY 10011-2427 | 2007-10-09 |
| Street Address |
1050 RIVER OAKS DR STE 100 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003914813 | George E Patton Jr. | Internal Medicine | 1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 | 2006-09-20 |
| 1679668487 | Cynthia E Allen | Family Medicine | 1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 | 2006-10-04 |
| 1922106749 | Scott C Layne | Internal Medicine | 1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265924807 | Christina Perkins | Nurse Practitioner | 1006 Treetops Blvd Ste 101, Flowood, MS 39232-7645 | 2018-05-30 |
| 1457854408 | Leticia Fay Stribling | Nurse Practitioner | 2605 Courthouse Cir, Flowood, MS 39232-9521 | 2018-03-15 |
| 1316479124 | Christine Newman | Nurse Practitioner | 204 Woodgreen Cv, Flowood, MS 39232-7510 | 2017-03-30 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| 1326437740 | Jeremy David Hudson | Nurse Practitioner | 1710 Old Fannin Rd, Flowood, MS 39232-9004 | 2015-01-22 |
| 1144668146 | Kimberly Elizabeth Strong | Nurse Practitioner | 252 Katherine Dr, Ste A, Flowood, MS 39232-9024 | 2013-06-12 |
| 1538497334 | Melissa Harrell Mckissack | Nurse Practitioner | 4213 Lakeland Dr, Flowood, MS 39232-9212 | 2009-12-07 |
| 1205870706 | Cynthia Johnson Dean | Nurse Practitioner | 1080 River Oaks Dr Ste B103, Flowood, MS 39232-7602 | 2006-06-15 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| 1922615293 | Maria Katherine Townsend | Nurse Practitioner | 2506 Lakeland Dr Ste 300, Flowood, MS 39232-7640 | 2020-09-30 |
| Find all providers in FLOWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.