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

Kiara D Johnson

Individual provider Nurse Practitioner · NPI 1255999595

Kiara D Johnson is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with Central Mississippi Civic Improvement Association, Inc, a 50-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2019
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Practice location Address checks out

3502 W Northside Dr
Jackson, MS 39213-4454
Phone: (601) 362-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903298 (MS)

Record details

NPI number1255999595
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2019
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Mississippi Civic Improvement Association, Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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