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NPI Code Detail

MEDICARE: MRS. JAMIE JOHNSTON

MEDICARE: MRS. JAMIE 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
1171M00000XCase Manager/Care CoordinatorTX

General Provider Information

NPI Number : 1619803772
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE JOHNSTON
Provider Business Mailing Address
First Line : 1303 PECAN DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5737
Country : US
Telephone Number : 469-499-3489
Fax Number :
Provider Business Practice Location Address
First Line : 1303 PECAN DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-5737
Country : US
Telephone Number : 469-499-3489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ MRS. JAMIE JOHNSTON ” Practice Location

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