Individual
JAYNE IDA JOHNSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
51 N 39TH ST, 223 WRIGHT/SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
51 N 39TH ST, 223 WRIGHT/SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NO06494100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
RN319578L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017254320001
—
PA
Enumeration date
07/07/2005
Last updated
04/10/2014
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