# MATTHEW PHILIP JOHNSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134482755
- **Gender:** Man
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 3007618 | KY | — |
| 363LP2300X | Primary Care Nurse Practitioner | 3540 | HI | Yes |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 07/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000781639 | BCBS WALMART MILLE | KY |
| 01 | — | 000000781754 | BCBS TROVER | KY |
| 01 | — | 3540 | APRN LICENSE | HI |
| 05 | — | 7100215240 | — | KY |
| 01 | — | P01105256 | RR MEDICARE-BAPTIST HEALTH MADISONVILLE INC | KY |