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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN GRADY JOHNSTON JR., DNP

Active Sole Proprietor

JOHN GRADY JOHNSTON JR., DNP is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PORTALES, New Mexico. NPI 1700362183 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PORTALES, NM

Registration Details

NPI Number
1700362183
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2018 (8.0344654869591 yrs)
Last Updated
Apr 3, 2024
Licenses
041465807 (IL)
120003 (IL)
55422 (NM)
Sole Proprietor
Yes

Practice Information

Address
42121 US HIGHWAY 70
PORTALES, NM, 881309054
Browse NM providers · Browse ZIP 88130
Phone
5753591800
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in PORTALES, NM

Name Credential NPI
MRS. MADELINE K CHALENOR CRNA, DNP 1548224033
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.