Johnigan, Latasha L

Johnigan, Latasha L is an sole proprietor health care provider with primary practice located at 6450 Louisiana Highway 1 Suite B, Innis LA 70747-0889. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Johnigan, Latasha L can be contacted via phone (225) 492-3775.

Contact Information

Primary practice address
6450 Louisiana Highway 1 Suite B Innis LA 70747-0889
Fax: (225) 492-3782
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X AP05967 Louisiana

Profile Details

NPI number 1467781757
LBN Legal business name Johnigan, Latasha L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2009
Last updated Apr 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467781757 NPPES
Louisiana MEDICAID 1818682

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