# CAROL J JOHNSTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760136162
- **Gender:** F
- **Credential:** APRN,PMH,BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | R093428 | MD | Yes |

## Other

- **Enumeration date:** 02/05/2022
- **Last updated:** 02/22/2022
