Individual
AMY M. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1101 AUDUBON AVE, STE S-4, THIBODAUX, LA 70301-4957
(985) 447-7246
Mailing address
PO BOX 248, PLUMERVILLE, AR 72127-0248
(501) 977-0612
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
RN115907
LA
Other
Enumeration date
10/04/2006
Last updated
11/05/2021
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