Individual
MRS. JODI LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
710 COLONIAL DR, BATON ROUGE, LA 70806-6511
(225) 927-5325
(225) 927-4150
Mailing address
710 COLONIAL DR, BATON ROUGE, LA 70806-6511
(225) 927-5325
(225) 927-4150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200507
LA
Other
Enumeration date
10/06/2011
Last updated
03/26/2021
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