Individual provider · Type 1 NPI

Jermaine Antonio Johnson, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Shreveport, LA

NPI number 1366003733 Active

Practice location

3341 Youree Dr Ste 205
Shreveport, LA 71105-2149

Mailing address

8932 Jewella Ave Ste A
Shreveport, LA 71118-2117

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X203158 (LA)
Psychiatric/Mental Health Registered Nurse 163WP0808X203158 (LA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X203158 (LA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1366003733

Jermaine Antonio Johnson, PMHNP-BC's National Provider Identifier is 1366003733, issued on Jun 25, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shreveport, LA. The record was last updated on Jul 30, 2024.