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Mr. Jerry Lynn Johnston, PA-C
Medical Physician Assistant in Fort Bragg, North Carolina
NPI 1609849835

Jerry Lynn Johnston is a Medical Physician Assistant based in Southport, NC and is specialized in Medical. Jerry Lynn Johnston practices in Fort Bragg, NC and has the professional credentials of PA-C. The NPI Number for Jerry Lynn Johnston is 1609849835 and holds a License No. 104108 (North Carolina).

The current practice location address for Jerry Lynn Johnston is Womack Army Medical Center, Fort Bragg, NC and can be reached out via phone at 910-907-8922.

Location: Womack Army Medical Center, Fort Bragg, NC, 28461-9023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609849835
Provider Name
Jerry Lynn Johnston
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
Womack Army Medical Center, Fort Bragg, NC, 28461-9023
Phone Number
910-907-8922
Fax Number
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Womack Army Medical Center
City
Fort Bragg
State
North Carolina
Zip
28310-0001
Phone Number
910-907-8922
Fax Number
person
Provider Business Mailing Address Details
Address
Womack Army Medical Center
City
Fort Bragg
State
North Carolina
Zip
28310-0001
Phone Number
910-907-8922
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
104108 (North Carolina)
Definition
Definition to come...
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