Johnson, Terran Hale
Johnson, Terran Hale is an sole proprietor health care provider with primary practice located at 1101 Medical Center Blvd. , Marrero LA 70072. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Terran Hale can be contacted via phone (504) 256-8017.Contact Information
Primary practice address
1101 Medical Center Blvd.
Marrero LA 70072
Phone: (504) 256-8017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP08310 | Louisiana |
Profile Details
| NPI number | 1538541446 |
|---|---|
| LBN Legal business name | Johnson, Terran Hale |
| Credentials | MN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2015 |
| Last updated | Oct 28th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538541446 | NPPES |
| Mississippi | MEDICAID | 09335859 | |
| Mississippi | MEDICAID | 2398989 |
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