Individual
MRS. JENNIFER LYNN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7125 W ENCANTO BLVD, PHOENIX, AZ 85035-1335
(623) 691-5600
Mailing address
10159 S 184TH DR, GOODYEAR, AZ 85338-4922
(623) 691-5615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043185
AZ
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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