Individual
JENNIFER N JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8150 OAKLANDON RD STE 130, INDIANAPOLIS, IN 46236-9554
(317) 621-1111
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003278A
IN
Other
Enumeration date
06/23/2021
Last updated
01/21/2025
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