Individual
MRS. SHIRLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
147 E MCCORMICK ST, SHREVEPORT, LA 71104-5122
(318) 218-9860
Mailing address
147 E MCCORMICK ST, SHREVEPORT, LA 71104-5122
(318) 218-9860
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
778709
TX
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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