April Denise Johnson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Okolona, MS
NPI 1124848973 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1124848973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2024070421 (MS)
- Practice address
- 30099 Chapel Grove Rd
Okolona, MS 38860-9482 - Phone
- (662) 610-9711
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250115000812 | MS | Practitioner - Nurse Practitioner | 3173051489 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024070421 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients |
Locations
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2024070421 | MS | Yes |
Addresses
Primary practice location
30099 Chapel Grove Rd
Okolona, MS 38860-9482
Mailing address
30099 Chapel Grove Rd
Okolona, MS 38860-9482
Phone (662) 610-9711
Other providers in Okolona, MS
- Hodges Adult Day Care Service Inc
- Hometown Care of North Mississippi, Inc
- Shelby Hood
- Khandra Aries Ivy
- Joseph Jackson
- Denita Kay Lyons
- Molly Marshall
- Mississippi State Department of Health
- North Mississippi Medical Clinics Inc
- Jimmy O'Brian
All providers in Okolona, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.