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

MS. Phyllis Polk Johnson, FNP

Individual provider Family Nurse Practitioner · NPI 1073531091

MS. Phyllis Polk Johnson, FNP is a Family Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 368-4479
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R574848 (MS)

Record details

NPI number1073531091
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 8, 2007

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