Individual
PAUL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2412
(985) 542-6251
Mailing address
20802 MADISON AVE, LIVINGSTON, LA 70754-6341
(225) 806-5402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229484
LA
Other
Enumeration date
02/15/2023
Last updated
03/15/2023
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