JUSTIN BOHANNAN, AG-ACNP

Nurse Practitioner - Acute Care

Active Individual
NPI: 1124695408

Practice Address

2770 3RD AVE STE 350
Lake Charles, LA 70601

Phone: (337) 494-2750

Specialties

Specialty Code Primary License
Nurse Practitioner - Acute Care 363LA2100X Yes 219004 (LA)

Frequently Asked Questions

NPI 1124695408 is the National Provider Identifier for JUSTIN BOHANNAN, AG-ACNP, a Nurse Practitioner - Acute Care provider located in Lake Charles, LA. This NPI was enumerated on June 7, 2021.
JUSTIN BOHANNAN, AG-ACNP practices at 2770 3RD AVE STE 350, Lake Charles, LA 70601.

Quick Facts

NPI
1124695408
Type
Individual
Enumerated
Jun 7, 2021
Last Updated
Feb 3, 2022

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