Individual
LATASHA L JOHNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6450 LOUISIANA HIGHWAY 1, SUITE B, INNIS, LA 70747-0889
(225) 492-3775
(225) 492-3782
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715
(225) 492-3775
(225) 492-3782
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
AP05967
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1818682
—
LA
Enumeration date
12/15/2009
Last updated
04/01/2011
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