Janika Titania Johnson, | |
323 W Walnut Ave, Bastrop, LA 71220-4521 | |
(318) 283-3622 | |
(318) 283-8622 |
Full Name | Janika Titania Johnson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 323 W Walnut Ave, Bastrop, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629857578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2023039410 (Missouri) | Primary |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210212002068 |
Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Janika Titania Johnson, 3901 Claiborne Dr, Monroe, LA 71201-1964 Ph: (131) 826-7562 | Janika Titania Johnson, 323 W Walnut Ave, Bastrop, LA 71220-4521 Ph: (318) 283-3622 |
Mrs. Tiffany Tolliver-battle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Gunby Ave, Bastrop, LA 71220 Phone: 318-283-3920 Fax: 318-239-8920 | |
Sharon Mayree Colton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 E Madison Ave, Bastrop, LA 71220 Phone: 318-801-3640 | |
Mrs. Deirdre Kivett Simmons, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 S Vine St, Bastrop, LA 71220 Phone: 318-283-3970 | |
Dr. Danita Renae Potter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 518 Durham St, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-2559 | |
Stacey Smith Ogden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 N. Franklin Street, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-6339 | |
Melissa Sue Ward, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Durham St, Bastrop, LA 71220 Phone: 318-556-8440 Fax: 318-556-8449 | |
Maribeth Gambill, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 616 S Washington St, Bastrop, LA 71220 Phone: 318-283-3990 Fax: 318-239-8990 |