Individual
EMA-CHANEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
8219 SPRING VALLEY CIR, SHREVEPORT, LA 71107-8609
(337) 991-9276
Mailing address
8219 SPRING VALLEY CIR, SHREVEPORT, LA 71107-8609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206209
LA
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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