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

DR. JOHNNIE SUSAN COOPER WIJEWARDANE, PHD, FNP

Active Sole Proprietor

Family Nurse Practitioner · STARKVILLE, MS

Registration Details

NPI Number
1316196850
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2008 (17.6151912458 yrs)
Last Updated
Mar 15, 2012
License
R852708 (MS)
Sole Proprietor
Yes

Practice Information

Address
1430 CEDAR CREEK LN
STARKVILLE, MS, 397598488
Browse MS providers · Browse ZIP 39759
Phone
6623121021
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in STARKVILLE, MS

Name Credential NPI
LULA C. WILSON C.F.N.P. 1275508616
COURTNEY GIBSON NICKELS N.P. 1508802208
MRS. THELMA JEAN MCCLENTON FNP 1659459246
MRS. LAURA J HARE C.R.N.P. 1114086584
MEREDITH PATTON HARTLINE FNP 1114111978
MARY K ATKINSON-SMITH CNP 1649415431
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.