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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JALISA JOHNSON

Active Sole Proprietor

JALISA JOHNSON is a Home Health healthcare provider located in LAKE, Mississippi. NPI 1285340703 is currently active in the NPPES registry. Verify at CMS.

Home Health · LAKE, MS

Registration Details

NPI Number
1285340703
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2023 (3.5245983725053 yrs)
Last Updated
Jan 27, 2023
Sole Proprietor
Yes

Practice Information

Address
249 JOHNSONTOWN RD
LAKE, MS, 390923909
Browse MS providers · Browse ZIP 39092
Phone
7692741148
Primary Specialty
Home Health
251E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.