Most Relevant Information
Provider Data
| NPI Number: | 1003344938 |
| Provider Name: | BEVERLY R JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
2404 FERRAND ST STE 23
MONROE
LA
71201
Practice Location Phone/Fax
| Phone: | 3183230463 |
| Fax: | 3183230465 |
Provider Mailing Location
2404 FERRAND ST STE 23
MONROE
LA
712013233
Provider Mailing Phone/Fax
| Phone: | 3183230463 |
| Fax: | 3183230465 |