Individual
JAY HUNTER JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2402 FRIST BLVD STE 204, FORT PIERCE, FL 34950-4838
(772) 462-3939
(772) 462-3938
Mailing address
1285 36TH ST, SUITE 100, VERO BEACH, FL 32960-4885
(772) 778-2009
(772) 778-2910
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292562100
—
FL
Enumeration date
09/25/2006
Last updated
08/18/2022
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