Johnson, Rachel

Johnson, Rachel is an individual health care provider with primary practice located at 101 Hospital Dr , Tylertown MS 39667-2021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Johnson, Rachel can be contacted via phone (601) 827-5075.

Contact Information

Primary practice address
101 Hospital Dr Tylertown MS 39667-2021
Phone: (601) 827-5075
Fax: (601) 827-5133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 904536 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 901435 Mississippi

Profile Details

NPI number 1972031227
LBN Legal business name Johnson, Rachel
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2017
Last updated Jul 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972031227 NPPES
Mississippi MEDICAID 02906069

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