IndividualActive
Charles Johnson, AGACNP
NPI 1437538410 · Acute Care Nurse Practitioner · Hattiesburg, MS
Provider details
- NPI number
- 1437538410
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Male
- Sole proprietor
- No
- License
- R875364 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone: (601) 288-7000
Fax: (601) 450-0518
Approximate (ZIP-level) locationGet directions
Mailing address
15 Professional Pkwy Ste 126
Hattiesburg, MS 39402-2647
Registry dates
- Enumerated
- 2015-05-24
- Last updated
- 2023-07-28
- Certified
- 2023-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.