Individual
MRS. JESSICA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 4TH ST NW, ALBUQUERQUE, NM 87107-2423
(505) 994-5300
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2015-0029
NM
Other
Enumeration date
06/09/2015
Last updated
11/13/2024
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