SHAE JOHNSTON NP-C NPI 1477961217

NPI Information

Shae Johnston, NP-C is a family nurse practitioner in Watertown, NY with 10 years of experience. Shae Johnston, NP-C NPI is 1477961217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

160 STONE ST
WATERTOWN, NY
ZIP 13601-250
Phone: (315) 782-1818

The NPI 1477961217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2014 and was last updated on 7/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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