Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1401 FOUCHER ST, NEW ORLEANS, LA 70115-3515
(504) 897-8300
Mailing address
255 W MICHIGAN AVE, P O BOX 1123, JACKSON, MI 49201-2218
(800) 516-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN132278
LA
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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