Individual
JACQUELINE JOAN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
112561-30
Contact information
Practice address
N3977 ROBIN LN, MARINETTE, WI 54143-9336
(715) 735-9425
Mailing address
N3977 ROBIN LN, MARINETTE, WI 54143-9336
(715) 735-9425
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112561-30
WI
Other
Enumeration date
08/18/2013
Last updated
08/18/2013
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