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

Individual provider Certified Registered Nurse Anesthetist · NPI 1629050836

Mary P. Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2001, 25 years ago. Practices with Sweet Dreams Anesthesia PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
25
Licensed in
MS
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 703-9920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R864870 (MS)

Record details

NPI number1629050836
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESMay 14, 2021
Certification dateApril 19, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sweet Dreams Anesthesia Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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