MR. JERMAINE ANTONIO JOHNSON RN NPI 1366003733

NPI Information

NPI: 1366003733
Provider Name: MR. JERMAINE ANTONIO JOHNSON, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3341 YOUREE DR STE 205
SHREVEPORT, LA
ZIP 71105
Phone: (318) 219-4167
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MR. Jermaine Antonio Johnson, RN is a psychiatric/mental health registered nurse in Shreveport, LA. MR. Jermaine Antonio Johnson, RN NPI is 1366003733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3341 YOUREE DR STE 205
SHREVEPORT, LA
ZIP 71105-149
Phone: (318) 219-4167

The enumeration date for this NPI number is 6/25/2019 and was last updated on 12/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	203158	LOUISIANA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	203158	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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