Healthcare Provider Details

I. General information

NPI: 1891416871
Provider Name (Legal Business Name): PATRICIA ANN JOHNSTONE COUNTIE CRNP, RN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 SPRINGDALE DR
EXTON PA
19341-2843
US

IV. Provider business mailing address

2141 E SERGEANT ST
PHILADELPHIA PA
19125-1728
US

V. Phone/Fax

Practice location:
  • Phone: 888-227-3898
  • Fax:
Mailing address:
  • Phone: 603-548-8025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2337891
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP026417
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010377
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberL1-0070725
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN726827
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NR24480600
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2337891
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: