Provider Demographics
NPI:1902691199
Name:JOHNSTON, KRISTEN LEE (RN)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LEE
Last Name:JOHNSTON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LEETONIA
Mailing Address - State:OH
Mailing Address - Zip Code:44431-1032
Mailing Address - Country:US
Mailing Address - Phone:330-303-7783
Mailing Address - Fax:
Practice Address - Street 1:177 W EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1706
Practice Address - Country:US
Practice Address - Phone:330-543-8352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390417163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse