Provider Demographics
NPI:1689845042
Name:JONES-JOHNSON, LISA DARNELL (LPN)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:DARNELL
Last Name:JONES-JOHNSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9656 CHINN ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70807-3830
Mailing Address - Country:US
Mailing Address - Phone:225-757-6419
Mailing Address - Fax:225-926-0595
Practice Address - Street 1:9656 CHINN ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-3830
Practice Address - Country:US
Practice Address - Phone:225-757-6419
Practice Address - Fax:225-926-0595
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA930702164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse