Johnstone, Jacqueline J.

Johnstone, Jacqueline J. is an individual health care provider with primary practice located at 4824 E Baseline Rd Ste 129 , Mesa AZ 85206-4679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Johnstone, Jacqueline J. can be contacted via phone (480) 644-1001.

Contact Information

Primary practice address
4824 E Baseline Rd Ste 129 Mesa AZ 85206-4679
Phone: (480) 644-1001
Fax: (480) 464-8722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP7422 Arizona

Profile Details

NPI number 1528149598
LBN Legal business name Johnstone, Jacqueline J.
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528149598 NPPES
Arizona MEDICAID 042807

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