Individual
TRACI L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607
(337) 480-8066
(337) 480-8109
Mailing address
PO BOX 122108 DEPT 2108, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201995
LA
Other
Enumeration date
01/16/2019
Last updated
05/21/2025
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