Individual
MRS. TANIKA FRANK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8462
(337) 312-6720
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN108988-AP05783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798681
—
LA
Enumeration date
05/04/2009
Last updated
12/09/2021
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