Search › Louisiana › 101YM0800X
Shuntel Johnson
NPI 1023594975 · on the registry since 2018 · sole proprietor
Practice
- Address
- 8891 Holley Farm Road
Bastrop, LA 71220 - Phone
- (318) 737-6175
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 171M00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana