Provider Demographics
NPI:1043616808
Name:JOHNSTONE, JULIA (APRN)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:JOHNSTONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:BETSY LAYNE
Mailing Address - State:KY
Mailing Address - Zip Code:41605-0112
Mailing Address - Country:US
Mailing Address - Phone:606-478-5110
Mailing Address - Fax:
Practice Address - Street 1:24 LEFT PENHOOK RD
Practice Address - Street 2:
Practice Address - City:HAROLD
Practice Address - State:KY
Practice Address - Zip Code:41635-7064
Practice Address - Country:US
Practice Address - Phone:606-478-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-06
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008934363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily