Individual
TREVOR JACOB JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121-2426
(504) 256-4162
Mailing address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
339315
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2018
Last updated
02/05/2025
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