Individual
JILL JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1111 N CHINA LAKE BLVD STE 190, RIDGECREST, CA 93555-3131
(760) 499-3855
(760) 499-3870
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 499-3899
(760) 499-3870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60863423
WA
363LA2100X
Acute Care Nurse Practitioner
AP60863423
WA
363LA2200X
Adult Health Nurse Practitioner
AP60863423
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60863423
ARNP
WA
Enumeration date
06/11/2018
Last updated
03/31/2026
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