Individual provider · Type 1 NPI

Kristen Elizabeth Johnston, IDC

Independent Duty Corpsman · Gulfport, MS

NPI number 1700469095 Active

Practice location

5502 Marvin Shields Blvd
Gulfport, MS 39501

Call (228) 822-5922 Map

Mailing address

159 Brentwood Blvd
Gulfport, MS 39503-4026

Other practice locations

  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 · (619) 532-6400

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X1700469095 (CA)

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

14 other providers at this address

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About NPI 1700469095

Kristen Elizabeth Johnston, IDC's National Provider Identifier is 1700469095, issued on May 4, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Gulfport, MS. The record was last updated on Dec 2, 2022.