Individual
MRS. DANETTE KELEMEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
520 N LEWIS ST FL 2, NEW IBERIA, LA 70563-2094
(337) 374-7587
(337) 374-7578
Mailing address
301 ARDENWOOD DR, LAFAYETTE, LA 70508-7646
(337) 274-4552
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218051
LA
Other
Enumeration date
02/10/2021
Last updated
04/20/2023
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