Justin Bohannan
AG-ACNP | Nurse Practitioner - Acute Care
2770 3rd Ave Ste 350, Lake Charles
Louisiana, 70601-0404
337-494-2750
Justin Bohannan is a Lake Charles, Louisiana based nurse practitioner who is specialized as Acute Care nurse. Active license number of Justin Bohannan is 219004 for Acute Care in Louisiana. His current practice location is 2770 3rd Ave Ste 350, Lake Charles. Patients can reach him at 337-494-2750 or can fax him at 337-494-2760. Justin Bohannan is AG-ACNP with specialization in Acute Care and his NPI number (Unique professional ID assigned by NPPES) is 1124695408.
Justin Bohannan is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Justin Bohannan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Justin Bohannan |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Male |
| Credentials: | AG-ACNP |
| Practice Address: | 2770 3rd Ave Ste 350, Lake Charles,
Louisiana, 70601-0404 |
| Phone: | 337-494-2750 |
| Fax: | 337-494-2760 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1124695408 |
| NPI Enumeration Date: | 07 Jun, 2021 |
| NPI Last Update On: | 03 Feb, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin Bohannan are as mentioned below.
| License Number | Specialization | State | Status | |
| 219004 | Acute Care | Louisiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Justin Bohannan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 219004 | Other | Louisiana | STATE LICENSE |
| 2560891 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Justin Bohannan
Po Box 122309 Dept 2309,
Dallas, Texas |
| Zip: | 75312-0001 |
| Phone Number: | 337-494-2772 |
| Fax Number: | 337-494-2928 |
Patients can reach Justin Bohannan at
2770 3rd Ave Ste 350, Lake Charles, Louisiana or can
call to book an appointment on 337-494-2750.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.