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

Mrs. Kelly Jarvis Johnson, CPNP

Individual provider Pediatrics Physician · NPI 1578048823

Mrs. Kelly Jarvis Johnson, CPNP is a Pediatrics Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-9291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 902965 (MS)
Pediatrics Physician Taxonomy 208000000X · Licence 902965 (MS)

Record details

NPI number1578048823
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 24, 2018

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