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General NPI Number Information
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NPI Number | 1902691199
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Entity Type | Individual
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Provider Name | KRISTEN LEE JOHNSTON APRN-CNP NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 177 W EXCHANGE ST
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City | AKRON
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State | OH
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Zip | 44302-1706
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Country | US
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Telephone | 330-543-8352
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Fax |
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Provider Business Mailing Address
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Address Line | 151 PINE ST
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City | LEETONIA
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State | OH
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Zip | 44431-1032
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Country | US
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Telephone | 330-303-7783
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 390417
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 0039802
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License Number State | OH
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