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MRS. ANTQUALENE LAVETTE JOHNSON PA-C
NPI 1720346943
Physician Assistant - Medical in Fort Polk, LA

Active since April 25, 2012
2260 GLORY LOOP, BLDG 1260, FORT POLK, LA 71446(337) 531-4127 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Antqualene Lavette Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANTQUALENE LAVETTE JOHNSON PA-C (NPI 1720346943) is an individual medical provider in Fort Polk, Louisiana, licensed in (1103343) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1720346943
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ANTQUALENE LAVETTE JOHNSONCredential: PA-C
Location Address2260 GLORY LOOP, BLDG 1260Fort Polk, LA 71446
Mailing Address2260 Glory Loop, Bldg 1260Fort Polk, LA 71446 · (337) 531-4127
Phone(337) 531-4127
Sole ProprietorNo
Enumeration DateApril 25, 2012
✔ NPI 1720346943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed · 1103343
2260 GLORY LOOP, Fort Polk, LA 71446
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antqualene Johnson's NPI number?

The NPI number for Antqualene Johnson is 1720346943. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Antqualene Johnson located?

Antqualene Johnson practices at 2260 Glory Loop Bldg 1260, Fort Polk, LA 71446. The listed phone number is (337) 531-4127.

What is Antqualene Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Antqualene Johnson was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.