Justin Bohannan, AG-ACNP
NPI #1124695408 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1124695408
- Entity Type
- Individual
- Name
- Justin Bohannan, AG-ACNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- AG-ACNP
- Enumeration Date
- Jun 7, 2021
- Last Updated
- Feb 3, 2022
Practice Location
- Address
- 2770 3RD AVE STE 350
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-0404
- Phone
- (337) 494-2750
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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