Individual
JOHANNA DE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7777 HENNESSY BLVD STE 2004, BATON ROUGE, LA 70808-4370
(225) 769-5000
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 769-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
302199
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/20/2016
Last updated
06/09/2025
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