Provider Demographics
NPI:1275119323
Name:LANDRUM-JOHNSON, JOYCELYN (RN, BSN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:JOYCELYN
Middle Name:
Last Name:LANDRUM-JOHNSON
Suffix:
Gender:F
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11017 PERKINS RD STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-3007
Mailing Address - Country:US
Mailing Address - Phone:225-444-5611
Mailing Address - Fax:225-444-5788
Practice Address - Street 1:11017 PERKINS RD STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-3007
Practice Address - Country:US
Practice Address - Phone:225-444-5611
Practice Address - Fax:225-444-5788
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN111234163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health