IndividualActive
Kathleen Johnson, MD
NPI 1023869831 · Plastic Surgery Physician · Jackson, MS
Provider details
- NPI number
- 1023869831
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2024-03-29
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.