Individual
MRS. PAMELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3140 FLORIDA BLVD, BATON ROUGE, LA 70806-3757
(225) 650-2000
(225) 650-2099
Mailing address
3140 FLORIDA BLVD, BATON ROUGE, LA 70806-3757
(225) 650-2000
(225) 650-2099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
TAP003214
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07702
LA
Other
Enumeration date
02/26/2014
Last updated
03/06/2020
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