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

Jalisa Johnson

Individual provider Home Health Agency · NPI 1285340703

Jalisa Johnson is a Home Health Agency in Lake, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

249 Johnsontown Rd
Lake, MS 39092-3909
Phone: (769) 274-1148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1285340703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2023
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023
Mailing address249 Johnsontown Rd, Lake, MS 39092-9563

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