Johnston, Jay Hunter

Johnston, Jay Hunter is an individual health care provider with primary practice located at 2402 Frist Blvd Ste 204 , Fort Pierce FL 34950-4838. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnston, Jay Hunter can be contacted via phone (772) 462-3939.

Contact Information

Primary practice address
2402 Frist Blvd Ste 204 Fort Pierce FL 34950-4838
Phone: (772) 462-3939
Fax: (772) 462-3938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103921 Florida

Profile Details

NPI number 1528169612
LBN Legal business name Johnston, Jay Hunter
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 18th, 2022 - about 4 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 1528169612 NPPES
Florida MEDICAID 292562100

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