SHANNA RAE JOHNSON

LAFAYETTE, LA
NPI1114570165
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  207289)
Enumeration Date2019-07-18
Last Update Date2019-08-13
Business Address
SHANNA RAE JOHNSON
129 RUE LOUIS XIV
LAFAYETTE, LA 70508-5738
Phone number: 337-289-9700
Mailing Address
SHANNA RAE JOHNSON
129 RUE LOUIS XIV
LAFAYETTE, LA 70508-5738
Phone number: 337-289-9700