| 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 |