Organization
COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER E JOHNSTON ARNP (OWNER)
(812) 704-4470
Entity
Organization
Contact information
Practice address
7138 EAST STATE ROAD, 160, SALEM, IN 47167-7855
(812) 704-4470
(877) 717-2521
Mailing address
PO BOX 43, HARDINSBURG, IN 47125-0043
(812) 804-4470
(877) 717-2521
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002653A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000666564
ANTHEM
IN
05
—
200998200
—
IN
Enumeration date
03/09/2010
Last updated
07/11/2011
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