Individual
TIFFANY A JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
74 SENIOR CIR, ELIZABETH, WV 26143-5711
(304) 275-3158
Mailing address
PO BOX 370, ELIZABETH, WV 26143-0370
(304) 275-3158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
85198
WV
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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