Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandi Davis Johnston, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1497271415

Brandi Davis Johnston, NURSEPRACTITIONER is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

1200 N State St Ste 420
Jackson, MS 39202
Phone: (601) 355-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1200 North State Street, Jackson, MS 39202 — (601) 355-3353
  • 1225 N State St, Jackson, MS 39202-2064 — (601) 968-1000
  • 1225 N State St, Jackson, MS 39202-2064 — (601) 968-1000

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 902163 (MS)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 902163 (MS)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 902163 (MS)

Record details

NPI number1497271415
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 22, 2017
Last updated in NPPESMarch 17, 2018
Mailing address965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Jackson