Search › Washington › 207Q00000X
Jeneeca Johnston, DO
NPI 1720586977 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4112 Harbour Pointe Blvd Sw Ste 100
Mukilteo, WA 98275 - Phone
- (425) 347-6330
- Organisation at this address
- Harbour Pointe Dental Arts
Providence Health & Services - Wa
Laboratory Corporation Of America
Providence Health & Services - Wa
Providence Health & Services - WashingtonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 315 Martin Luther King Jr Way, Tacoma, WA
- 1717 S J St, Tacoma, WA
- 401 15th Ave Se, Puyallup, WA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- AZ, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-19
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 Washington