Individual
MRS. CHANTELLE LAURA CORRENT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
77695 WAGLEY RD, MARINGOUIN, LA 70757-3028
(225) 625-2313
(225) 625-2424
Mailing address
77695 WAGLEY RD, MARINGOUIN, LA 70757-3028
(225) 625-2313
(225) 625-2424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06147
LA
Other
Enumeration date
11/18/2010
Last updated
04/04/2011
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