Individual
MRS. JACQUELINE PAIGE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 COMMUNITY DRIVE, ANESTHESIOLOGY DEPARTMENT, MANHASSET, NY 11030
(516) 562-4859
Mailing address
7 TRUVAL LN, NESCONSET, NY 11767-2215
(516) 369-4748
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR24019300
NJ
163WC0200X
Critical Care Medicine Registered Nurse
765114
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
765114
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2025
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