Individual
MR. DANIEL LEVI JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7122
Mailing address
2102 WATERFORD CIR, TUSCALOOSA, AL 35405-6382
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-134395
AL
363LF0000X
Family Nurse Practitioner
Primary
1-134395
AL
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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