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Individual

AMBER JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3839 JOSEPH RANDALL DR, SHREVEPORT, LA 71107-3149
(318) 317-5151
Mailing address
3839 JOSEPH RANDALL DR, SHREVEPORT, LA 71107-3149
(318) 317-5151

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1118047
TX
363LW0102X
Women's Health Nurse Practitioner
227052
LA

Other

Enumeration date
07/12/2023
Last updated
03/12/2026
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