Individual
MS. JACQUELINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5001 WESTBANK EXPY, MARRERO, LA 70072-2954
(504) 349-8708
Mailing address
2653 A P TUREAUD AVE, NEW ORLEANS, LA 70119-1244
(504) 430-5925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
960374
LA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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