Doctor Name: | MRS. ASHLEY KAY JOHNSTON |
NPI Number: | 1023241643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9105048 |
Business Practice Address: | 17240 Cortez Blvd Brooksville, FL - 346018921 |
Business Phone Number: | 3527965111 |
Business Fax Number: | 3525445711 |
Mailing Address: | 18167 Us Highway 19 N, Suite 650 CLEARWATER |
State: | FL |
Postal Code: | 337643528 |
Phone Number: | 7275073600 |
Fax Number: | 8002132823 |
NPI Enumeration Date: | 08/30/2009 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9105048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |