Individual provider · Type 1 NPI

Jill Johnston, AGACNP-BC

Nurse Practitioner · Ridgecrest, CA

NPI number 1134612500 Active

Practice location

1111 N China Lake Blvd Ste 190
Ridgecrest, CA 93555-3131

Fax (760) 499-3870

Mailing address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAP60863423 (WA)
Nurse Practitioner Primary 363L00000XAP60863423 (WA)
Adult Health Nurse Practitioner 363LA2200XAP60863423 (WA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134612500

Jill Johnston, AGACNP-BC's National Provider Identifier is 1134612500, issued on Jun 11, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ridgecrest, CA. The record was last updated on Mar 31, 2026.