Individual provider · Type 1 NPI

Kris Johnston, DACM, AGPC-NP

Nurse Practitioner · East Setauket, NY

NPI number 1457550907 Active

Practice location

28 Jones St, Suite 101
East Setauket, NY 11733-2941

Call (631) 675-9000 Map

Fax (631) 675-9002

Mailing address

1745 Union Blvd Ste 1
Bay Shore, NY 11706-7952

Specialties and licenses

Taxonomy	Code	License
Acupuncturist	171100000X	003434 (NY)
Nurse Practitioner Primary	363L00000X	309251 (NY)

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 1457550907

Kris Johnston, DACM, AGPC-NP's National Provider Identifier is 1457550907, issued on Jul 15, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Setauket, NY. The record was last updated on Nov 13, 2020.