| Courtney B Johnson, | |
|
19900 Old Scenic Hwy Ste H, Zachary, LA 70791-7368 | |
| (225) 570-2618 | |
| Not Available |
| Full Name | Courtney B Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 19900 Old Scenic Hwy Ste H, Zachary, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033794672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 218851 (Louisiana) | Primary |
| Entity Name | Calcasieu Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Entity Name | Mantecol Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346880051 PECOS PAC ID: 2264862127 Enrollment ID: O20200417001392 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney B Johnson, 19900 Old Scenic Hwy Ste H, Zachary, LA 70791-7368 Ph: (225) 570-2618 | Courtney B Johnson, 19900 Old Scenic Hwy Ste H, Zachary, LA 70791-7368 Ph: (225) 570-2618 |
Michael Evan Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St Ste 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212 | |
Lori S Grace, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791 Phone: 225-658-6780 Fax: 225-658-6781 | |
Jeremy Dedeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4544 W Central Ave, Zachary, LA 70791 Phone: 337-739-9824 Fax: 504-208-4952 | |
Loryn Culver Matthews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850 | |
Sarah Wallace Eisworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-570-2618 Fax: 225-570-8539 |