Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY ALBERT JOHNSTONE, PHYSICIAN ASSISTANT
ActiveMR. JERRY ALBERT JOHNSTONE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in LAKE CITY, Texas. NPI 1326370420 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKE CITY, TX
Registration Details
- NPI Number
- 1326370420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2010 (16.528468449788 yrs)
- Last Updated
- Feb 1, 2010
- License
-
PA01624 (TX)
Practice Information
- Address
-
1201 ENTERPRISE AVEAPT 610LAKE CITY, TX, 77573Browse TX providers · Browse ZIP 77573
- Phone
- 8063965583
- Fax
- 8063662713
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.