Justin Bohannan, AG-ACNP
NPI 1124695408 · Acute Care Nurse Practitioner · Lake Charles, LA
Justin Bohannan, AG-ACNP is a Acute Care Nurse Practitioner provider in Lake Charles, LA (NPI 1124695408).
Provider details
- NPI number
- 1124695408
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Male
- Sole proprietor
- No
- License
- 219004 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-07
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Frequently asked questions
- What is Justin Bohannan's NPI number?
- Justin Bohannan's National Provider Identifier (NPI) is 1124695408, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Bohannan's specialty?
- Justin Bohannan is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Bohannan located?
- Justin Bohannan's practice location on file with NPPES is 2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404.
- What is Justin Bohannan's phone number?
- The practice phone number listed in the NPPES registry for Justin Bohannan is (337) 494-2750.
- Is Justin Bohannan's NPI active?
- Yes — Justin Bohannan's NPI (1124695408) is active in the NPPES registry as of the last update on 2022-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.