Provider Demographics
NPI:1023241643
Name:JOHNSTON, ASHLEY KAY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:KAY
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:19106 CANDLE PL
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-5044
Mailing Address - Country:US
Mailing Address - Phone:813-294-1676
Mailing Address - Fax:
Practice Address - Street 1:38021 MARKET SQUARE DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-7504
Practice Address - Country:US
Practice Address - Phone:813-929-3600
Practice Address - Fax:813-355-5090
Is Sole Proprietor?:No
Enumeration Date:2009-08-30
Last Update Date:2024-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9105048363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCU237UMedicare PIN