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Mr. Randall Silven Johnston II, A-GNP-C
Primary Care Nurse Practitioner in Bossier City, Louisiana
NPI 1891420931

Randall Silven Johnston II is a Primary Care Nurse Practitioner based in Shreveport, LA and is specialized in Primary Care. Randall Silven Johnston II practices in Bossier City, LA and has the professional credentials of A-GNP-C. The NPI Number for Randall Silven Johnston II is 1891420931 and holds a License No. 202864 (Louisiana).

The current practice location address for Randall Silven Johnston II is 2890 Douglas Dr # 100, Bossier City, LA and can be reached out via phone at 318-742-6900.

Location: 2890 Douglas Dr # 100, Bossier City, LA, 71104-2800
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Provider Profile Details
NPI Number
1891420931
Provider Name
Randall Silven Johnston II
Credential
A-GNP-C
Provider Entity Type
Individual
Gender
Male
Address
2890 Douglas Dr # 100, Bossier City, LA, 71104-2800
Phone Number
318-742-6900
Fax Number
Provider Enumeration Date
07/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AG05220099 01 AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
202864 01 LA LOUISIANA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
2890 Douglas Dr # 100
City
State
Zip
71111-5806
Phone Number
318-742-6900
Fax Number
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Provider Business Mailing Address Details
Address
2890 Douglas Dr # 100
City
State
Zip
71111-5806
Phone Number
318-742-6900
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
202864 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
202864 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
202864 (Louisiana)
Definition
Definition to come...
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