DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISA JOHNSON, MD

Active Sole Proprietor

Nephrology · SHREVEPORT, LA

Registration Details

NPI Number
1083615520
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2005 (20.766659214727 yrs)
Last Updated
Sep 6, 2017
Licenses
L6967 (TX)
023908 (LA)
MD.023908 (LA)
Sole Proprietor
Yes

Practice Information

Address
1303 LINE AVE
STE 400
SHREVEPORT, LA, 711014628
Browse LA providers · Browse ZIP 71101
Phone
3182212707
Fax
3132212709
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Nephrology
Additional Specialty
Nephrology

Other Nephrology Providers in SHREVEPORT, LA

Name Credential NPI
DR. HENRY EDWARD WOOD JR. MD 1447242680
DR. ARNOLD E BARZ MD 1710972559
DR. PHILIP J GARAVAGLIA MD 1477548030
DR. MARWAN KASKAS MD 1831184407
DR. MELISSA L LYNN MD 1972598548
DR. SYLVIA DIAZ NOBLE MD 1790770394
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.