Individual
COURTNEY B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19900 OLD SCENIC HWY STE H, ZACHARY, LA 70791-7368
(225) 570-2618
Mailing address
19900 OLD SCENIC HWY STE H, ZACHARY, LA 70791-7368
(225) 570-2618
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218851
LA
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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