Individual
JESSICA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 CHURCH ST, CHATEAUGAY, NY 12920-4407
(518) 651-1525
Mailing address
15 CHURCH ST, CHATEAUGAY, NY 12920-4407
(518) 651-1525
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
681326
NY
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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