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NPI Code Detail

MEDICARE: LORIE ANN JOHNSTON

MEDICARE: LORIE ANN JOHNSTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner71017408AIN

General Provider Information

NPI Number : 1033072467
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORIE ANN JOHNSTON
Provider Business Mailing Address
First Line : 2621 E JEFFERSON ST
Second Line :
City : WARSAW
State : IN
Zip : 46580-3880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 255 N MIAMI ST
Second Line :
City : WABASH
State : IN
Zip : 46992-2705
Country : US
Telephone Number : 260-563-8446
Fax Number : 260-563-1902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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