Justin Bohannan is an Acute Care Nurse Practitioner based in Dallas, LA and is specialized in Acute Care. Justin Bohannan practices in Lake Charles, LA and has the professional credentials of AG-ACNP. The NPI Number for Justin Bohannan is 1124695408 and holds a License No. 219004 (Louisiana).
The current practice location address for Justin Bohannan is 2770 3Rd Ave Ste 350, Lake Charles, LA and can be reached out via phone at 337-494-2750 and via fax at 337-494-2760. You can also correspond with Justin Bohannan through the mailing address at PO BOX 122309 DEPT 2309, DALLAS, TX - 75312-0001 (mailing address contact number: 337-494-2772).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219004 | 01 | LA | STATE LICENSE |
| 2560891 | 05 | LA |
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