NPI 1356856561 · live from the CMS NPI Registry
Cassandra Amos- Johnson, FNP-C
Nurse Practitioner, Family in Brookhaven, MS. National Provider Identifier 1356856561, active.
NPI record
| NPI | 1356856561 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 503 Silver Cross Dr, Brookhaven, MS 39601 |
| Practice phone | 601-833-2361 |
| Mailing address | 111 Rowan Oak Pl, Terry, MS 39170 |
| Enumerated | December 11, 2017 |
| Last updated | September 21, 2021 |
| Sole proprietor | Yes |
| Other names | Cassandra Walters |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 902422 (MS) |
| Family Medicine, Adult Medicine | 207QA0505X | 902422 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.