Individual
WILLIAM KIRK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Contact information
Practice address
314 N FRANKLIN ST, BASTROP, LA 71220-3846
(318) 283-8887
(318) 281-6339
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 283-8887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN124873
LA
363LF0000X
Family Nurse Practitioner
AP07380
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP07380
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2344889
—
LA
Enumeration date
08/16/2013
Last updated
03/20/2025
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