Doctor Name: | DR. JESSICA JOHNSTONE |
NPI Number: | 1255367298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 06783 |
Business Practice Address: | 400 N Main St Suite 104 Davenport, IA - 528011417 |
Business Phone Number: | 5633248888 |
Business Fax Number: | 5633248888 |
Mailing Address: | 1845 W 58th St, DAVENPORT |
State: | IA |
Postal Code: | 528061711 |
Phone Number: | 5639405852 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 02/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 06783 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |