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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.