Provider Demographics
NPI:1639665987
Name:GRIFFIN, JOHNEICE (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JOHNEICE
Middle Name:
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42327 DEVALL RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-6280
Mailing Address - Country:US
Mailing Address - Phone:713-515-9057
Mailing Address - Fax:225-363-2318
Practice Address - Street 1:42327 DEVALL RD
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-6280
Practice Address - Country:US
Practice Address - Phone:713-515-9057
Practice Address - Fax:225-363-2318
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09892207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine