Healthcare Provider Details

I. General information

NPI: 1750218020
Provider Name (Legal Business Name): KIRSTI ERIN JOHNSTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 ALMOND DR
CAMERON NC
28326-9837
US

IV. Provider business mailing address

225 ALMOND DR
CAMERON NC
28326-9837
US

V. Phone/Fax

Practice location:
  • Phone: 678-836-4677
  • Fax:
Mailing address:
  • Phone: 678-836-4677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number324984
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: