JONATHAN JOHNSON

SHREVEPORT, LA
NPI1750977252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1057014)
Enumeration Date2020-12-18
Last Update Date2022-09-09
Business Address
JONATHAN JOHNSON CRNA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
JONATHAN JOHNSON CRNA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0284