Mr. Jacob M Johnston
Mr. Jacob M Johnston is a Certified Registered Nurse Anesthetist (CRNA) in Melbourne, Kentucky. Graduated from University of Cincinnati College of Medicine in 2022, 4 years ago. Practices with University of Cincinnati Physicians Company LLC, a 1,476-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 4
- Trained at
- University of Cincinnati College of Medicine
- Licensed in
- OH
- In the registry since
- 2021
Practice location Address checks out
3543 Providence Trace DrMelbourne, KY 41059-9203
Phone: (513) 675-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 438891 (OH) |
|---|
Record details
| NPI number | 1972175321 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 14, 2021 |
| Last updated in NPPES | July 14, 2021 |
| Certification date | July 14, 2021 |
| Mailing address | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduated | 2022 (4 years in practice) |
| Group practice | University Of Cincinnati Physicians Company Llc — 1476 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Melbourne
-
Terri Angel, RN
2337 Fausz Rd, Melbourne, KY 41059-9433 · (859) 391-6117