Provider Demographics
NPI:1326562133
Name:JOHNSON, LINDSEY STRECKER (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:STRECKER
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 TURNBERRY DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-4751
Mailing Address - Country:US
Mailing Address - Phone:504-615-4242
Mailing Address - Fax:
Practice Address - Street 1:530 W PINE ST STE 1
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-3780
Practice Address - Country:US
Practice Address - Phone:985-370-5656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP09480OtherLOUISIANA STATE BOARD OF NURSING