Individual
MISTY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6700
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R133302
LA
363L00000X
Nurse Practitioner
Primary
AP09665
LA
Other
Enumeration date
12/01/2017
Last updated
04/27/2020
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