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Contact Information

RANDALL S JOHNSTON II, A-GNP-C
2890 DOUGLAS DR # 100
BOSSIER CITY, LA71111-5806
 Phone: 318-742-6900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RANDALL S JOHNSTON II · (Male)

NPI Number 1891420931
Status Active
Credentials A-GNP-C
Entity Individual
Enumeration date 07/21/2022
Last updated 09/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 202864
  • Other AG05220099 AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
  • LA Other 202864 LOUISIANA STATE BOARD OF NURSING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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