Individual
MS. TORI SHAAK-JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4003 KRESGE WAY STE 400, LOUISVILLE, KY 40207-4652
(502) 895-7265
Mailing address
1901 CAMPUS PL, LOUISVILLE, KY 40299-2308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4022441
KY
Other
Enumeration date
08/23/2023
Last updated
09/04/2024
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