MEDICARE: AMBER JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	1118047	TX
2	363LW0102X	Women's Health Nurse Practitioner	227052	LA

General Provider Information

NPI Number	:	1760161301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER JOHNSON

Provider Business Mailing Address
First Line	:	3839 JOSEPH RANDALL DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71107-3149
Country	:	US
Telephone Number	:	318-317-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	3839 JOSEPH RANDALL DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71107-3149
Country	:	US
Telephone Number	:	318-317-5151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2023
Last Update Date	:	03/12/2026

Similar Medicare Providers

1164148904 — CABRIA COTTON
Practice Location Address:

151 FREESTATE BLVD STE A
SHREVEPORT, LA
71107-6549

Practice Phone: 318-226-5990
Practice Fax:

1669177242 — KAYLA GRAHAM
Practice Location Address:

4571 N MARKET ST
SHREVEPORT, LA
71107-2917

Practice Phone: 318-424-8735
Practice Fax: 318-424-8739

1013911775 — JUANITA CARMELLA JONES MA, NCC, LPC
Practice Location Address:

1310 N HEARNE AVE
SHREVEPORT, LA
71107-6516

Practice Phone: 318-676-5111
Practice Fax: 318-676-5945

1215933254 — DAVID RAINES COMMUNITY HEALTH CENTER, INC
Practice Location Address:

1625 DAVID RAINES RD
SHREVEPORT, LA
71107-5899

Practice Phone: 318-425-2252
Practice Fax: 318-716-3265

1144229162 — ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.
Practice Location Address:

1435 HAWN AVE
SHREVEPORT, LA
71107-6533

Practice Phone: 318-676-0881
Practice Fax: 318-676-0885

1598758849 — DAVID D WADDELL MD
Practice Location Address:

6999 BICKHAM RD
SHREVEPORT, LA
71107-8398

Practice Phone: 318-929-2900
Practice Fax:

Directions to “ AMBER JOHNSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.