Individual
MEREDITH V JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
751 COURT ST, PORT ALLEN, LA 70767-2635
(225) 389-1311
(225) 389-1330
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29873
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1183075
—
LA
01
—
P00373288
METRAHEALTH RR
LA
01
—
P00376229
METRAHEALTH RR
LA
Enumeration date
06/23/2006
Last updated
05/22/2012
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