Karen Johnson, RN

Individual provider Active NPI General Practice Registered Nurse · Tickfaw, LA

NPI 1992393748 · NPPES record last updated Jan 7, 2021

Key facts

NPI
1992393748
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
RN118032 (LA)
Practice address
31044 N Cafeline Rd
Tickfaw, LA 70466-4006
Phone
(985) 634-2370
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN118032LAMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN118032 LA Yes

Addresses

Primary practice location

31044 N Cafeline Rd
Tickfaw, LA 70466-4006

Mailing address

PO Box 1480
Albany, LA 70711-1480
Phone (985) 634-2370

Other providers in Tickfaw, LA

All providers in Tickfaw, LA · General Practice Registered Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.