Provider Demographics
NPI:1619546074
Name:JOHNSTON, RHONDA ANN (RN, MSN, CRRN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:ANN
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:RN, MSN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1376 SILVER SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2319
Mailing Address - Country:US
Mailing Address - Phone:859-277-0320
Mailing Address - Fax:859-277-0319
Practice Address - Street 1:1376 SILVER SPRINGS DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2319
Practice Address - Country:US
Practice Address - Phone:859-277-0320
Practice Address - Fax:859-277-0319
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1063065163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation