Individual provider · Type 1 NPI

Jerry Lynn Johnston, PA-C

Medical Physician Assistant · Fort Bragg, NC

NPI number 1609849835 Active

Practice location

Womack Army Medical Center, Mcxc-Cod, Credentials Office, Attn: Sheila Blackwell
Fort Bragg, NC 28310-0001

Call (910) 907-8922 Map

Mailing address

3865 Timberstream Dr
Southport, NC 28461-9023

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X104108 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1609849835

Jerry Lynn Johnston, PA-C's National Provider Identifier is 1609849835, issued on Feb 8, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Bragg, NC. The record was last updated on Jul 13, 2026.