Individual
MRS. JACQUELINE P JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
ADELPHI UNIVERSITY, ONE SOUTH AVE, WALDO HALL, HEALTH SERVICES, GARDEN CITY, NY 11530
(516) 877-6004
(516) 877-6008
Mailing address
11 TOPLAND PL, EAST NORTHPORT, NY 11731-1938
(516) 877-6004
(516) 877-6008
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303629
NY
Other
Enumeration date
09/13/2006
Last updated
07/21/2022
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