Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Johnston, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669224507

Jack Johnston, MD is a Student in an Organized Health Care Education/Training Program in Gainesville, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 SW Archer Rd Gainesville Fl 32610
Gainesville, FL 32610
Phone: (352) 273-9914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1669224507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address3990 Pinnacle View Dr, Hurricane, WV 25526-7413

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