Individual
SUZAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 LINE AVE STE 206, SHREVEPORT, LA 71101-4649
(318) 213-3800
Mailing address
6382 BARKSDALE BLVD, BOSSIER CITY, LA 71112-8752
(318) 623-7959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234115
LA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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