Illisia Marie Johnston
NP-C | Nurse Practitioner - Family | 5+ years Exp
1008 N 15th Ave, Laurel
Mississippi, 39440-2656
601-426-5125
Illisia Marie Johnston is a Laurel, Mississippi based nurse practitioner with 5 years of experience in Family. She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Illisia Marie Johnston is F06212134 for Family in Mississippi. Her current practice location is 1008 N 15th Ave, Laurel. Patients can reach her at 601-426-5125. Illisia Marie Johnston is NP-C with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1003486556.
Illisia Marie Johnston delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Illisia Marie Johnston speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Illisia Marie Johnston |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | NP-C |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1008 N 15th Ave, Laurel,
Mississippi, 39440-2656 |
| Phone: | 601-426-5125 |
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: | 2062800691 |
| Enrollment ID: | I20211101000338 |
| NPI Number: | 1003486556 |
| NPI Enumeration Date: | 28 Jun, 2021 |
| NPI Last Update On: | 03 Oct, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Illisia Marie Johnston are as mentioned below.
| License Number | Specialization | State | Status | |
| F06212134 | Family | Mississippi | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Illisia Marie Johnston is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Jefferson Neurology Clinic Llc (5395006977) | 5 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Illisia Marie Johnston
Po Box 247,
Laurel, Mississippi |
| Zip: | 39441-0247 |
Patients can reach Illisia Marie Johnston at
1008 N 15th Ave, Laurel, Mississippi or can
call to book an appointment on 601-426-5125.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.