Individual
MRS. TINA DIANE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3194 HIGHWAY 71, CAMPTI, LA 71411-4060
(318) 476-3999
(318) 476-3699
Mailing address
3194 HIGHWAY 71, CAMPTI, LA 71411-4060
(318) 476-3999
(318) 476-3699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06853
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP06853
APRN LICENSE
LA
Enumeration date
06/08/2012
Last updated
01/02/2026
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