IndividualActive
Latauris Johnson
NPI 1891452843 · Adult Companion · Jackson, MS
Provider details
- NPI number
- 1891452843
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Practice location
405 Briarwood Dr
Jackson, MS 39206-3052
Phone: (601) 345-1780
Fax: (601) 510-9134
Mailing address
89 Nate Rd
Lake, MS 39092-3502
Registry dates
- Enumerated
- 2021-11-24
- Last updated
- 2021-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.