IndividualActive
Kenicha Johnson, CNA
NPI 1679911887 · Homemaker · Greenville, MS
Provider details
- NPI number
- 1679911887
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A059764 (MS)
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
423 N Hinds St
Greenville, MS 38701-2929
Phone: (662) 537-8547
Approximate (ZIP-level) locationGet directions
Mailing address
423 N Hinds St
Greenville, MS 38701-2929
Registry dates
- Enumerated
- 2013-06-10
- Last updated
- 2013-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.