Individual
LINDA MAYES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-8987
(225) 765-8667
Mailing address
PO BOX 52752, LAFAYETTE, LA 70505-2752
(225) 765-8987
(225) 765-8667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP 06388
LA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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