person
Nicklett R Johnston, NP
Family Nurse Practitioner in Benson, Arizona
NPI 1356484596

Nicklett R Johnston is a Family Nurse Practitioner based in Benson, AZ and is specialized in Family. Nicklett R Johnston practices in Benson, AZ and has the professional credentials of NP. The NPI Number for Nicklett R Johnston is 1356484596 and holds a License No. 546098 (Arizona).

The current practice location address for Nicklett R Johnston is 688 W 4Th St Ste B, Benson, AZ and can be reached out via phone at 520-720-6551 and via fax at 520-720-6552.

Location: 688 W 4Th St Ste B, Benson, AZ, 85602-6315
person
Provider Profile Details
NPI Number
1356484596
Provider Name
Nicklett R Johnston
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
688 W 4Th St Ste B, Benson, AZ, 85602-6315
Phone Number
520-720-6551
Fax Number
520-720-6552
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
184626302 05 TX
184626301 05 TX
184626303 05 TX
institution
Provider Business Practice Location Address Details
Address
688 W 4Th St Ste B
City
State
Zip
85602
Phone Number
520-720-6551
Fax Number
520-720-6552
person
Provider Business Mailing Address Details
Address
688 W 4Th St Ste B
City
State
Zip
85602
Phone Number
520-720-6551
Fax Number
520-720-6552
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
546098 (Texas)
Definition
Definition to come...
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