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Michael L Johnston, FNP
Family Nurse Practitioner in Marshall, Missouri
NPI 1619933140

Michael L Johnston is a Family Nurse Practitioner based in Marshall, MO and is specialized in Family. Michael L Johnston practices in Marshall, MO and has the professional credentials of FNP. The NPI Number for Michael L Johnston is 1619933140 and holds a License No. 096914 (Missouri).

The current practice location address for Michael L Johnston is 2305 South 65 Highway, Marshall, MO and can be reached out via phone at 660-886-7431 and via fax at 660-886-9001. You can also correspond with Michael L Johnston through the mailing address at 2305 SOUTH 65 HIGHWAY, MARSHALL, MO - 65340-3702 (mailing address contact number: 660-868-7431).

Location: 2305 South 65 Highway, Marshall, MO, 65340-3702
person
Provider Profile Details
NPI Number
1619933140
Provider Name
Michael L Johnston
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2305 South 65 Highway, Marshall, MO, 65340-3702
Phone Number
660-886-7431
Fax Number
660-886-9001
Provider Enumeration Date
04/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540568508 05 MO
010568509 05 MO
595956202 05 MO
33415014 01 BCBS
429090905 05 MO
33415034 01 BCBS
institution
Provider Business Practice Location Address Details
Address
2305 South 65 Highway
City
State
Zip
65340-3702
Phone Number
660-886-7431
Fax Number
660-886-9001
person
Provider Business Mailing Address Details
Address
2305 South 65 Highway
City
State
Zip
65340-3702
Phone Number
660-886-7431
Fax Number
660-886-9001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
096914 (Missouri)
Definition
Definition to come...
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