Individual
MRS. PAMMIE WILSON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 3RD ST, ALEXANDRIA, LA 71301-8342
(318) 449-5210
(318) 449-5206
Mailing address
915 3RD ST, ALEXANDRIA, LA 71301-8342
(318) 449-5210
(318) 449-5206
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08472
LA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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