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Individual

BENI JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2732 SHANANDOAH CT E, MOBILE, AL 36695-2541
(251) 689-7282
Mailing address
2732 SHANANDOAH CT E, MOBILE, AL 36695-2541
(251) 689-7282

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-143674
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
2019012238
AL

Other

Enumeration date
03/17/2023
Last updated
05/18/2023
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