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

MR. JACOB M JOHNSTON

Active

MR. JACOB M JOHNSTON is a Registered Nurse healthcare provider located in MELBOURNE, Kentucky. NPI 1972175321 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · MELBOURNE, KY

Registration Details

NPI Number
1972175321
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2021 (5.1200341113451 yrs)
Last Updated
Jul 14, 2021
License
438891 (OH)

Practice Information

Address
3543 PROVIDENCE TRACE DR
MELBOURNE, KY, 410599203
Browse KY providers · Browse ZIP 41059
Phone
5136752612
Primary Specialty
Registered Nurse
163W00000X
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.