Provider Demographics
NPI:1780990937
Name:FRANCIS-JOHNSON, DEANGELA KACHAN (MSN, FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DEANGELA
Middle Name:KACHAN
Last Name:FRANCIS-JOHNSON
Suffix:
Gender:F
Credentials:MSN, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:DEANGELA
Other - Middle Name:KACHAN
Other - Last Name:FRANCIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:416 PLAZA CIR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-4823
Mailing Address - Country:US
Mailing Address - Phone:318-518-4466
Mailing Address - Fax:
Practice Address - Street 1:2924 KNIGHT ST STE 408
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2413
Practice Address - Country:US
Practice Address - Phone:318-220-1311
Practice Address - Fax:318-220-1377
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN128816163W00000X
TX962187163W00000X
TXAP140751363LF0000X, 363LP0808X
LAAP09062363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily