NPI 1003857830

Miranda C Johnston, PA

Practitioner Physician Assistant Independence, LA

Practice location

Address: 281 W 4th St, Independence, LA 70443-2386
Phone: (985) 878-0066
Fax: (985) 878-0626
Mailing address: 2057 White Myrtle Dr, Madisonville, LA 70447-9480

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA.A10528.RX (LA)

Other Physician Assistant providers in Louisiana →

Registry record

NPI: 1003857830
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2006
Record last updated: 30 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.