Individual
MS. TRACY LYNN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP- C
Contact information
Practice address
1910 UNIVERSITY DR, BOISE, ID 83725-1351
(208) 426-1459
(208) 426-3005
Mailing address
1910 UNIVERSITY DR, BOISE, ID 83725-1351
(208) 426-1459
(208) 426-3005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1311 A
ID
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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