Individual
MARY JOAN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2772 S 39TH ST, LINCOLN, NE 68506-3234
(402) 480-1744
(402) 436-1655
Mailing address
2772 S 39TH ST, LINCOLN, NE 68506-3234
(402) 480-1744
(402) 436-1655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16990
NE
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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