Individual
JESSICA L. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4300 7TH ST, MOLINE, IL 61265-6866
(309) 762-9800
(309) 764-3871
Mailing address
4300 7TH ST, MOLINE, IL 61265-6866
(309) 762-9800
(309) 764-3871
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209011517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209011517
—
IL
Enumeration date
05/20/2014
Last updated
09/23/2015
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