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

Sammy Vaun Johnson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1750800967

Sammy Vaun Johnson, AGACNP is an Acute Care Nurse Practitioner in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2017.

Licensed in
MS
In the registry since
2017

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-9617
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 902237 (MS)

Record details

NPI number1750800967
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESSeptember 19, 2017

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