Individual
MICHAEL L JOHNSTON
Active
Individual
MICHAEL L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
096914
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568509
—
MO
01
—
33415014
BCBS
—
01
—
33415034
BCBS
—
05
—
429090905
—
MO
05
—
540568508
—
MO
05
—
595956202
—
MO
Enumeration date
04/24/2006
Last updated
08/11/2015
Update your record
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