NPI 1114649209
Shundrakia L Johnson
Practice location
- Address
- 3603 W Congress St APT 101a, Lafayette, LA 70506-5201
- Phone
- (337) 303-3699
- Mailing address
- PO Box 61698, Lafayette, LA 70596-1698
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1114649209
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Sep 2022
- Record last updated
- 14 Sep 2022
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.