Basic Information
| Provider Information | |||||||||
| NPI: | 1417354911 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOHNSTON | ||||||||
| FirstName: | YVONNE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6000 | ||||||||
| Address2: | BINGHAMTON UNIVERSITY - DECKER SCHOOL OF NURSING | ||||||||
| City: | BINGHAMTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 139026000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077772622 | ||||||||
| FaxNumber: | 6077774440 | ||||||||
| Practice Location | |||||||||
| Address1: | 225 FRONT ST | ||||||||
| Address2: | |||||||||
| City: | BINGHAMTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 139052474 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077782839 | ||||||||
| FaxNumber: | 6077782873 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/26/2014 | ||||||||
| LastUpdateDate: | 11/26/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 455113-1 | NY | N | Nursing Service Providers | Registered Nurse | 363LF0000X | F331837-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.