Search › Wisconsin › 163W00000X
Jacqueline Johnston, 112561-30
NPI 1710310388 · on the registry since 2013 · sole proprietor
Practice
- Address
- N3977 Robin Ln
Marinette, WI 54143 - Phone
- (715) 735-9425
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-08-18
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 Wisconsin