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Individual

TINISHA LYNN JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1855 W BASELINE RD, MESA, AZ 85202-9000
(480) 865-4355
Mailing address
1855 W BASELINE RD, MESA, AZ 85202-9000
(480) 865-4355

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN210035
AZ
163WA2000X
Administrator Registered Nurse
Primary
RN210035
AZ
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN210035
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN210035
AZ

Other

Enumeration date
03/04/2019
Last updated
03/04/2019
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