Mary P. Johnson is a Jackson, Mississippi based nurse anesthetist with 24 years of experience as Anesthesia Administration. She completed she graduation in 2001. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mary P. Johnson is R864870 for Anesthesia Administration in Mississippi. Her current practice location is 2500 N State St, Jackson. Patients can reach her at 601-815-2005 or can fax her at 601-703-9920. Mary P. Johnson is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1629050836. Mary P. Johnson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mary P. Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
24+ years
Medical School Attended:
Other
Graduation Year:
2001
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
2500 N State St, Jackson, Mississippi, 39216-4500
Phone:
601-815-2005
Fax:
601-703-9920
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1456498427
Enrollment ID:
I20091023000082
NPI Number:
1629050836
NPI Enumeration Date:
15 Nov, 2005
NPI Last Update On:
14 May, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary P. Johnson are as mentioned below.
License Number
Specialization
State
Status
R864870
Anesthesia Administration
Mississippi
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mary P. Johnson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
State Of Mississippi-university Of Mississippi Medical Center (1850293036)
820
Sweet Dreams Anesthesia Pllc (1254757685)
19
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary P. Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
430070545
Other
RAILROAD MEDICARE
00125198
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
504 Clinton Center Drive, Cbo - Suite 4300 Clinton, Mississippi
Zip:
39056
Phone Number:
601-496-9794
Fax Number:
601-815-0434
Patients can reach Mary P. Johnson at 2500 N State St, Jackson, Mississippi or can call to book an appointment on 601-815-2005.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.