Johnston, Randall Silven

Johnston, Randall Silven is an individual health care provider with primary practice located at 2890 Douglas Dr # 100 , Bossier City LA 71111-5806. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Johnston, Randall Silven can be contacted via phone (318) 742-6900.

Contact Information

Primary practice address
2890 Douglas Dr # 100 Bossier City LA 71111-5806
Phone: (318) 742-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 202864 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 202864 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 202864 Louisiana

Profile Details

NPI number 1891420931
LBN Legal business name Johnston, Randall Silven
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2022
Last updated Sep 15th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891420931 NPPES
Other AG05220099 AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
Other 202864 AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD

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