Individual provider · Type 1 NPI

Toni Lee Johnston, NP

Adult Health Nurse Practitioner · Port Jefferson Station, NY

NPI number 1902455231 Active

Practice location

1500 Route 112 Ste B
Port Jefferson Station, NY 11776-8054

Fax (631) 621-4115

Mailing address

1500 Rt. 112, Building 2, Suite B
Port Jefferson Station, NY 11776

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF309260-01 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1902455231

Toni Lee Johnston, NP's National Provider Identifier is 1902455231, issued on Sep 9, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 13, 2020.