Individual
BARBARA L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP APN RN MS
Contact information
Practice address
2338 N. VAN WINKLE WAY, SUITE 2200, PEORIA, IL 61615
(309) 692-6088
(309) 692-0502
Mailing address
215 W STRATFORD DR, PEORIA, IL 61614-7346
(309) 472-6475
(309) 673-6914
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209005123
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209005123
APN LICENSE
IL
Enumeration date
02/01/2006
Last updated
09/08/2020
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