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NPI Code Detail

MEDICARE: RHONDA ANN JOHNSTON RN, MSN, CRRN

MEDICARE: RHONDA ANN JOHNSTON RN, MSN, CRRN
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
1163WR0400XRehabilitation Registered Nurse1063065KY

General Provider Information

NPI Number : 1619546074
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA ANN JOHNSTON RN, MSN, CRRN
Provider Business Mailing Address
First Line : 1376 SILVER SPRINGS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-2319
Country : US
Telephone Number : 859-277-0320
Fax Number : 859-277-0319
Provider Business Practice Location Address
First Line : 1376 SILVER SPRINGS DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40511-2319
Country : US
Telephone Number : 859-277-0320
Fax Number : 859-277-0319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2021
Last Update Date : 06/21/2021

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