Individual
KIM DENISE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3303 TULANE AVE BLDG 1, NEW ORLEANS, LA 70119-7186
(504) 377-6628
Mailing address
3303 TULANE AVE BLDG 1, NEW ORLEANS, LA 70119-7186
(504) 377-6628
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
30000769
LA
Other
Enumeration date
10/28/2025
Last updated
10/30/2025
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