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

Individual provider Case Manager/Care Coordinator · NPI 1043053648

Kennedi Lisa Gabrielle Johnson is a Case Manager/Care Coordinator in Thibodaux, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

2590 Highway 1
Thibodaux, LA 70301-5843
Phone: (985) 313-1093
Fax: (985) 313-1092
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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

Record details

NPI number1043053648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

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