Individual
DR. JOLENE KAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LSU HEALTHCARE NETWORK, 3401 NORTH BLVD, SUITE 400, BATON ROUGE, LA 70806
(225) 381-2755
Mailing address
2051 SILVERSIDE DR, SUITE 260, BATON ROUGE, LA 70808-9005
(225) 490-8882
(225) 765-9085
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
08331R
LA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
08331R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399523
—
LA
Enumeration date
07/25/2006
Last updated
03/26/2021
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