IndividualActive
David Johnson
NPI 1841804044 · Home Health Aide · Olive Branch, MS
Provider details
- NPI number
- 1841804044
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4436 Davis Grove Blvd
Olive Branch, MS 38654-5631
Phone: (662) 932-1439
Approximate (ZIP-level) locationGet directions
Mailing address
4436 Davis Grove Blvd
Olive Branch, MS 38654-5631
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.