=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992625982
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATIE JO JOHNSTON RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1601 UNIVERSITY BLVD E STE 150
-----------------------------------------------------
City | TUSCALOOSA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35404-2920
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 205-860-7233
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 263 REED ST
-----------------------------------------------------
City | CENTREVILLE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35042-2538
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WE0003X
-----------------------------------------------------
Taxonomy Name | Emergency Registered Nurse
-----------------------------------------------------
License Number | 1-190215
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------