Search › Mississippi › 1710I1002X
Kristen Johnston, IDC
NPI 1700469095 · on the registry since 2021
Practice
- Address
- 5502 Marvin Shields Blvd
Gulfport, MS 39501 - Phone
- (228) 822-5922
- Organisation at this address
- Nhc Pensacola
Branch Medical Clinic GulfportInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 34800 Bob Wilson Dr, San Diego, CA
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi