Individual
REBECCA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 989-1080
(205) 989-1087
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-7235
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-078599
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936753
—
AL
Enumeration date
06/05/2006
Last updated
10/20/2008
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