Healthcare Provider Details

I. General information

NPI: 1457952400
Provider Name (Legal Business Name): BRITTANY RAGAS JOHNSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANY RAGAS NP

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 01/11/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 S BURNSIDE AVE STE 204
GONZALES LA
70737-3453
US

IV. Provider business mailing address

10517 BUXTON RD
SAINT AMANT LA
70774-4206
US

V. Phone/Fax

Practice location:
  • Phone: 225-242-9342
  • Fax: 225-208-1384
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number212012
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number212012
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: