Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tera L. Johnson, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1649712548

Tera L. Johnson, CPNP-PC is a Nurse Practitioner in Baton Rouge, Louisiana. Graduated from Texas Tech University Health Science Center School of Medicine in 2016, 10 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Washington.

Years since qualifying
10
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
LA, WA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8300 Constantin Blvd
Baton Rouge, LA 70809-3489
Phone: (225) 374-1528
Fax: (225) 374-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9040 Jackson Ave, Tacoma, WA 98431-3730 — (953) 968-2252

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 240449 (LA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 60705836 (WA)

Record details

NPI number1649712548
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedNovember 8, 2016
Last updated in NPPESNovember 15, 2025
Certification dateNovember 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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