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

Kiara D Johnson

Individual provider Nurse Practitioner · NPI 1255999595

Kiara D Johnson is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with Central Mississippi Civic Improvement Association, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903298 (MS)

Record details

NPI number1255999595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2019
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address3502 W Northside Dr, Jackson, MS 39213-4454

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Mississippi Civic Improvement Association, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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