JONATHAN JOHNSON

SHREVEPORT, LA
NPI1750977252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1057014)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  218598)
Enumeration Date2020-12-18
Last Update Date2024-12-03
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
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