Jacqueline Joan Johnston, 112561-30

NPI #1710310388 in Marinette, Wisconsin

Provider Information

NPI Number
1710310388
Entity Type
Individual
Name
Jacqueline Joan Johnston, 112561-30
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Credential
112561-30
Enumeration Date
Aug 18, 2013
Last Updated
Aug 18, 2013

Practice Location

Address
N3977 ROBIN LN
ZIP Code
54143-9336
Phone
(715) 735-9425

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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