Individual
ADRIENNE CARMEIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4348 S JEFFREY DR, BATON ROUGE, LA 70816-4196
(225) 361-0219
Mailing address
4348 S JEFFREY DR, BATON ROUGE, LA 70816-4196
(225) 361-0219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601016816
—
LA
Enumeration date
08/26/2022
Last updated
08/26/2022
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