Individual
KEIRRA JOHNSON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
3423 NW EVANGELINE TRWY, CARENCRO, LA 70520-6241
(337) 245-0445
Mailing address
2138 WOODDALE BLVD STE 2, BATON ROUGE, LA 70806-1443
(225) 401-0136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
221499
LA
Other
Enumeration date
08/04/2021
Last updated
09/06/2023
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