Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN BOHANNAN, AG-ACNP
ActiveJUSTIN BOHANNAN, AG-ACNP is a Acute Care Nurse Practitioner healthcare provider located in LAKE CHARLES, Louisiana. NPI 1124695408 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1124695408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2021 (5.1508662087003 yrs)
- Last Updated
- Feb 3, 2022
- License
-
219004 (LA)
Practice Information
- Address
-
2770 3RD AVE STE 350LAKE CHARLES, LA, 706010404Browse LA providers · Browse ZIP 70601
- Phone
- 3374942750
- Fax
- 3374942760
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Other Acute Care Nurse Practitioner Providers in LAKE CHARLES, LA
| Name | Credential | NPI |
|---|---|---|
| DEANNA FREDERICKS HARLESS | ACNP | 1407852288 |
| MS. VICTORIA LEE SKOLD | NURSE PRACTITIONER | 1033321518 |
| LAUREN HAY | NP | 1508013780 |
| MR. LANCE HENAGAN | NP | 1326422924 |
| MRS. ILEA NAUTS | AGACNP-BC | 1043732894 |
| NATHAN A BEIER | ACNPC-AG | 1205424397 |
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.