Individual
MR. JOHNNY EARL BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
420 WHEELIS ST, WEST MONROE, LA 71292-3940
(318) 556-8455
(318) 556-8456
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 556-8454
(318) 281-2559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218605
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2607111
—
LA
01
—
2P4721
FAMILY NURSE PRACTITIONER
LA
Enumeration date
03/11/2021
Last updated
03/20/2025
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