| NPI | 1962679571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DOUGLAS JOHNSTON Owner 337-456-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2024-01-25 |