FREDERICA JOHNSON NPI 1154781383

NPI Information

NPI: 1154781383
Provider Name: FREDERICA JOHNSON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
2520 CRESTWOOD DR
SHREVEPORT, LA
ZIP 71118
Phone: (318) 868-3093
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Frederica Johnson is a professional counselor in Shreveport, LA. Frederica Johnson NPI is 1154781383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2520 CRESTWOOD DR
SHREVEPORT, LA
ZIP 71118-113
Phone: (318) 868-3093

The NPI 1154781383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/1/2016 and was last updated on 7/12/2021.

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	101YP2500X	Counselor	Professional	7879	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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