IndividualActive
Shakyla Johnson
NPI 1477436129 · Other Technician · Madison, MS
Provider details
- NPI number
- 1477436129
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
272 Calhoun Station Parkway
Suite C
Madison, MS 39110
Phone: (662) 374-1598
Approximate (ZIP-level) locationGet directions
Mailing address
3019 Highway 82 E Apt 5d
Greenwood, MS 38930-6062
Registry dates
- Enumerated
- 2025-07-30
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.