person
Barbara L Johnston, NPAPNRNMS
Pediatric Nurse Practitioner in Peoria, Illinois
NPI 1184696544

Barbara L Johnston is a Pediatric Nurse Practitioner based in Peoria, IL and is specialized in Pediatrics. Barbara L Johnston practices in Peoria, IL and has the professional credentials of NPAPNRNMS. The NPI Number for Barbara L Johnston is 1184696544 and holds a License No. 209005123 (Illinois).

The current practice location address for Barbara L Johnston is 2338 N. Van Winkle Way, Peoria, IL and can be reached out via phone at 309-692-6088 and via fax at 309-692-0502. You can also correspond with Barbara L Johnston through the mailing address at 215 W STRATFORD DR, PEORIA, IL - 61614-7346 (mailing address contact number: 309-472-6475).

Location: 2338 N. Van Winkle Way, Peoria, IL, 61614-7346
person
Provider Profile Details
NPI Number
1184696544
Provider Name
Barbara L Johnston
Credential
NPAPNRNMS
Provider Entity Type
Individual
Gender
Female
Address
2338 N. Van Winkle Way, Peoria, IL, 61614-7346
Phone Number
309-692-6088
Fax Number
309-692-0502
Provider Enumeration Date
02/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209005123 01 IL APN LICENSE
institution
Provider Business Practice Location Address Details
Address
2338 N. Van Winkle Way
City
State
Zip
61615
Phone Number
309-692-6088
Fax Number
309-692-0502
person
Provider Business Mailing Address Details
Address
215 W Stratford Dr
City
State
Zip
61614-7346
Phone Number
309-472-6475
Fax Number
309-673-6914
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209005123 (Illinois)
Definition
Definition to come...
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