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

Kristen Elizabeth Johnston, IDC

Individual provider Independent Duty Corpsman · NPI 1700469095

Kristen Elizabeth Johnston, IDC is an Independent Duty Corpsman in Gulfport, Mississippi. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

5502 Marvin Shields Blvd
Gulfport, MS 39501
Phone: (228) 822-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 — (619) 532-6400

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 1700469095 (CA)

Record details

NPI number1700469095
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorNo
NPI enumeratedMay 4, 2021
Last updated in NPPESDecember 2, 2022
Certification dateNovember 30, 2022

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