Johnston, John Grady

Johnston, John Grady is an sole proprietor health care provider with primary practice located at 42121 Us Highway 70 , Portales NM 88130-9054. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Johnston, John Grady can be contacted via phone (575) 359-1800.

Contact Information

Primary practice address
42121 Us Highway 70 Portales NM 88130-9054
Phone: (575) 359-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041465807 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 120003 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55422 New Mexico

Profile Details

NPI number 1700362183
LBN Legal business name Johnston, John Grady
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2018
Last updated Apr 3rd, 2024 - about 2 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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