Individual
MS. MELANIE LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN,FNP-C
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6530
Mailing address
144 HICKORY DR, NATCHITOCHES, LA 71457-6427
(318) 357-8426
(318) 357-8456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN041389 AP02052
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1696391
—
LA
Enumeration date
03/09/2007
Last updated
07/08/2007
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