Individual
MRS. TERRAN HALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN, FNP-C
Contact information
Practice address
1101 MEDICAL CENTER BLVD., MARRERO, LA 70072
(504) 256-8017
Mailing address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 256-8017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08310
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09335859
—
MS
05
—
2398989
—
LA
Enumeration date
06/26/2015
Last updated
10/28/2016
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