Individual
JEREMIAH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 BETHESDA DR, ZANESVILLE, OH 43701-0815
(740) 569-5737
Mailing address
930 BETHESDA DR, ZANESVILLE, OH 43701-0815
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.384369
OH
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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