IndividualActive
Shundrakia Johnson
NPI 1114649209 · Nurse's Aide · Lafayette, LA
Provider details
- NPI number
- 1114649209
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 256988 (LA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3603 W Congress St Apt 101a
Lafayette, LA 70506-5201
Phone: (337) 303-3699
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 61698
Lafayette, LA 70596-1698
Registry dates
- Enumerated
- 2022-09-14
- Last updated
- 2022-09-14
- Certified
- 2022-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.