Individual
ASHBY JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
100 HOSPITAL LN STE 210, DANVILLE, IN 46122-1845
(317) 718-9040
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10003796A
IN
Other
Enumeration date
03/17/2022
Last updated
08/12/2024
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