Individual
KIMBERLY WAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1590
(410) 328-6110
Mailing address
35 E WHEELING ST, BALTIMORE, MD 21230-4029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R228785
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R228785
MD
Other
Enumeration date
06/30/2022
Last updated
09/28/2022
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