Individual
KRISTIN M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 WILLOWBROOK RD, COLUMBUS, MS 39705-2015
(662) 240-1412
(662) 240-1949
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905439
MS
Other
Enumeration date
10/03/2022
Last updated
07/25/2023
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