Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deastra Lyshell Johnson

Individual provider Case Manager/Care Coordinator · NPI 1649734823

Deastra Lyshell Johnson is a Case Manager/Care Coordinator in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2019
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Practice location Address checks out

3510 Linwood Ave
Shreveport, LA 71103-4512
Phone: (318) 636-4194
Fax: (318) 636-4196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (LA)

Record details

NPI number1649734823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJanuary 22, 2019

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