Individual provider · Type 1 NPI
Randall Silven Johnston Ii, A-GNP-C
Primary Care Nurse Practitioner · Bossier City, LA
NPI number
1891420931
Active
Practice location
2890 Douglas Dr # 100
Bossier City, LA 71111-5806
Mailing address
1333 Coates Bluff Dr Apt 1525
Shreveport, LA 71104-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 202864 (LA) |
| Gerontology Nurse Practitioner | 363LG0600X | 202864 (LA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 202864 (LA) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Bossier City
About NPI 1891420931
Randall Silven Johnston Ii, A-GNP-C's National Provider Identifier is 1891420931, issued on Jul 21, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bossier City, LA. The record was last updated on Sep 15, 2022.