Individual provider · Type 1 NPI
Kassidy Johnson
Nurse Practitioner · Baton Rouge, LA
Practice location
17000 Medical Center Dr
Baton Rouge, LA 70816-3246
Mailing address
29219 Horseshoe Rd
Independence, LA 70443-3557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | AP09181 (LA) |
| Gerontology Nurse Practitioner | 363LG0600X | AP09181 (LA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1235675257
Kassidy Johnson's National Provider Identifier is 1235675257, issued on Jan 13, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Feb 28, 2017.