MEDICARE: MRS. REBECCA ANNETTE JOHNSTON FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	902274	MS

General Provider Information

NPI Number	:	1932619103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. REBECCA ANNETTE JOHNSTON FNP-C

Provider Business Mailing Address
First Line	:	1107 GRAND AVE
Second Line	:
City	:	LENA
State	:	MS
Zip	:	39094-8994
Country	:	US
Telephone Number	:	601-654-3433
Fax Number	:	601-654-0117

Provider Business Practice Location Address
First Line	:	1107 GRAND AVE
Second Line	:
City	:	LENA
State	:	MS
Zip	:	39094-8994
Country	:	US
Telephone Number	:	601-654-3433
Fax Number	:	601-654-0117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2017
Last Update Date	:	03/04/2021

Similar Medicare Providers

1306118641 — RIVER BEND SERVICES, INC.
Practice Location Address:

3696 RIVER BEND ROAD
LENA, MS
39094

Practice Phone: 601-654-3941
Practice Fax: 601-654-3895

1184120883 — LENA FAMILY MEDICAL, INC.
Practice Location Address:

1107 GRAND AVENUE
LENA, MS
39094

Practice Phone: 601-654-3433
Practice Fax: 601-654-0117

1568012383 — MOORE'S PHARMACY LENA LLC
Practice Location Address:

1212 GRAND AVENUE
LENA, MS
39094

Practice Phone: 601-780-2757
Practice Fax: 601-724-9438

1154955003 — DR. BRETT CHAPIN MOORE PHARMD
Practice Location Address:

1212 GRAND AVE
LENA, MS
39094-9580

Practice Phone: 601-780-2757
Practice Fax: 601-724-9438

1427653385 — ITANJULA MOORE
Practice Location Address:

88 TRAIL RD
LENA, MS
39094-9654

Practice Phone: 769-203-9570
Practice Fax:

1750978847 — JANA KATE STANFILL RN
Practice Location Address:

5200 UTAH RD
LENA, MS
39094-9142

Practice Phone: 601-697-9396
Practice Fax:

Directions to “ MRS. REBECCA ANNETTE JOHNSTON FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.