Healthcare Provider Details

I. General information

NPI: 1962025452
Provider Name (Legal Business Name): A&C JOHNSTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 N 400 W # B6
OREM UT
84057-1909
US

IV. Provider business mailing address

153 N 400 W # B6
OREM UT
84057-1909
US

V. Phone/Fax

Practice location:
  • Phone: 801-921-2260
  • Fax:
Mailing address:
  • Phone: 801-921-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ARLENE JOHNSTON
Title or Position: CEO
Credential: DNP, FNP-C
Phone: 801-682-3865