Individual
DR. KATELYN S JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 818-1111
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 575-2902
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901511
MS
Other
Enumeration date
06/13/2018
Last updated
07/14/2021
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