Individual
BEVERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., CARN, C.C.M.
Contact information
Practice address
3600 GOVERNMENT ST, ALEXANDRIA, LA 71302
(318) 441-1105
(318) 441-2251
Mailing address
110 PAT ST, PINEVILLE, LA 71360
(318) 730-1035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
073458
LA
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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