Individual
JAYME LYNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 PINEGLEN DR, SAINT GABRIEL, LA 70776-4618
(318) 332-5276
Mailing address
1820 PINEGLEN DR, SAINT GABRIEL, LA 70776-4618
(318) 332-5276
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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