Individual
JEFFREY GLENN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-6421
(484) 476-3149
Mailing address
646 FOSS AVE, DREXEL HILL, PA 19026-2428
(484) 461-4768
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
RN531413
PA
363L00000X
Nurse Practitioner
SP021771
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021771
PA
Other
Enumeration date
03/27/2020
Last updated
01/28/2026
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