Shanna Rae Johnson
Shanna Rae Johnson is a Nurse Practitioner in Lafayette, Louisiana. Qualified in 2019, 7 years ago. Practices with Acadiana Vascular Center LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 7
- Licensed in
- LA
- In the registry since
- 2019
Practice location Address checks out
129 Rue Louis XivLafayette, LA 70508-5738
Phone: (337) 289-9700
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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 207289 (LA) |
|---|
Record details
| NPI number | 1114570165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 18, 2019 |
| Last updated in NPPES | August 13, 2019 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Acadiana Vascular Center Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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