Individual
MRS. DUSTY LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(610) 453-1548
Mailing address
643 RAY LEWIS RD, BLAIRSVILLE, GA 30512-1439
(706) 745-9068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
282190
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN275163
GA
367500000X
Certified Registered Nurse Anesthetist
RN514136L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001833846
HIGHMARK
PA
01
—
104122
GEISINGER
PA
01
—
1278934
AETNA-HMO
PA
01
—
20053633
MERCY
PA
01
—
2689279000
INDEPENDENCE BLUE CROSS
PA
01
—
50058155
KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
7598828
AETNA-NON HMO
PA
01
—
P00298903
RR MEDICARE
PA
Enumeration date
04/03/2006
Last updated
10/16/2025
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