Individual
MR. JACOB PETER JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN-BSN
Contact information
Practice address
991 PETERSON AVE, EAU CLAIRE, WI 54703-2173
(608) 738-3175
Mailing address
991 PETERSON AVE, EAU CLAIRE, WI 54703-2173
(608) 738-3175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233817
WI
Other
Enumeration date
07/08/2017
Last updated
07/21/2022
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