| Mr Aaron Ross Johnston, FNP | |
| 
					650 Joel Dr., Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349  | |
| (270) 798-8130 | |
| (270) 956-0180 | 
| Full Name | Mr Aaron Ross Johnston | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 650 Joel Dr., Ft. Campbell, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306074299 | NPI | - | NPPES | 
| VAD000 | Other | KY | VAD000 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN1901129 (Georgia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APN000017882 (Tennessee) | Primary | 
| Entity Name | Riverside Spine & Physical Medicine, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720407570 PECOS PAC ID: 1456575141 Enrollment ID: O20140619002243  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Aaron Ross Johnston, FNP 650 Joel Dr., Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 Ph: (270) 798-8130  | Mr Aaron Ross Johnston, FNP 650 Joel Dr., Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 Ph: (270) 798-8130  | 
Juliette Carrington Bridgeman, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Dr., Ft. Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180  | |
Christopher Allen Weatherspoon, MS, RN, CS-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Lapointe Health Clinic, 5979 Desert Storm Ave., Ft. Campbell, KY 42223 Phone: 270-798-8592  |