Search › Louisiana › 104100000X
Ilyssa Johnson
NPI 1437973609 · on the registry since 2024 · sole proprietor
Practice
- Address
- 3084 Westfork Dr Ste C
Baton Rouge, LA 70816 - Phone
- (225) 960-1813
- Organisation at this address
- Foundation X Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-13
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