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

Nicole Lynn Johnson, CFNP

Individual provider Registered Nurse · NPI 1578951240

Nicole Lynn Johnson, CFNP is a Nurse Practitioner in Slidell, Louisiana. Qualified in 2014, 12 years ago. Practices with Physician Services of the Gulf Coast LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
12
Licensed in
LA, MS
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

3333 Pontchartrain Dr
Slidell, LA 70458-4827
Phone: (985) 238-0320
Fax: (985) 238-0321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 237427 (LA)
Registered Nurse Taxonomy 163W00000X · Licence R878829 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R878829 (MS)

Record details

NPI number1578951240
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedJanuary 5, 2015
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Physician Services Of The Gulf Coast Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Slidell