| Doctor Name: | MICHELLE JOHNSTON |
| NPI Number: | 1447669601 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, AGPCNP-BC |
| License Number: | 272644 |
| Business Practice Address: | 12000 Mccracken Rd Suite 108 Garfield Heights, OH - 441252964 |
| Business Phone Number: | 2165184633 |
| Business Fax Number: | |
| Mailing Address: | 12000 Mccracken Rd, Suite 108 GARFIELD HEIGHTS |
| State: | OH |
| Postal Code: | 441252964 |
| Phone Number: | 2165184633 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2014 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 272644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |