Provider Demographics
NPI:1366636060
Name:JOHNSON-FERRAND, LULA MAE (APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:LULA
Middle Name:MAE
Last Name:JOHNSON-FERRAND
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:510 E STONER AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4243
Mailing Address - Country:US
Mailing Address - Phone:318-221-8411
Mailing Address - Fax:318-343-8600
Practice Address - Street 1:1691 BIENVILLE DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3756
Practice Address - Country:US
Practice Address - Phone:318-998-7850
Practice Address - Fax:318-343-8600
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX828147363LF0000X
MSR878132363LF0000X
LAAP05299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily