Provider Demographics
NPI:1881917938
Name:JOHNSTON, WHITNEY LEIGH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:LEIGH
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:WHITNEY
Other - Middle Name:LEIGH
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:1601 E 19TH AVE STE 4450
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1288
Mailing Address - Country:US
Mailing Address - Phone:303-830-2900
Mailing Address - Fax:303-830-2901
Practice Address - Street 1:1601 E 19TH AVE STE 4450
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1288
Practice Address - Country:US
Practice Address - Phone:303-830-2900
Practice Address - Fax:303-830-2901
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363A00000X
COPA.0003693363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant