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Individual

MRS. ALLISON DAWN JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2157 S HIGHWAY 27, STEARNS, KY 42647-6297
(606) 376-9700
Mailing address
216 TALON TRL, LONDON, KY 40744-6309
(606) 862-8286

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013825
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14615849
CAQH ID
01
3013825
LICENSE
KY
05
7100649410
KY
Enumeration date
02/04/2020
Last updated
11/09/2020
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