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

Jeffrey Glenn Johnston, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1831727866

Jeffrey Glenn Johnston, CRNP is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-6421
Fax: (484) 476-3149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 — (484) 476-2000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP021771 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP021771 (PA)

Record details

NPI number1831727866
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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