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

Mary Ann Johnson, CFNP

Individual provider Family Nurse Practitioner · NPI 1699851634

Mary Ann Johnson, CFNP is a Nurse Practitioner in Canton, Mississippi. Qualified in 1995, 31 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
31
Licensed in
MS
In the registry since
2006
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Practice location Address checks out

1883 Highway 43 S Ste E
Canton, MS 39046-8405
Phone: (601) 407-1137
Fax: (601) 407-1137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R688916 (MS)

Record details

NPI number1699851634
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESNovember 7, 2012
Mailing addressPo Box 283, Canton, MS 39046-0283

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Canton