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

Mrs. Alicon Kathleen Johnson, CPNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1265796981

Mrs. Alicon Kathleen Johnson, CPNP-AC is a Critical Care Pediatric Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 214-9206
Fax: (601) 984-4214
Show map & directions

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

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence R862571 (MS)

Record details

NPI number1265796981
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESJune 27, 2012

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