Nancy Johnston holds degrees in Vocal Coaching and Accompanying from Indiana University and the University of Illinois, where she was a student of John Wustman. She is principal keyboardist for the Winston-Salem Symphony, the Greensboro Symphony and Piedmont Opera Theatre.

Johnston's summer residencies include Des Moines Metro Opera, the Saugatuck Chamber Music Festival, the Meadowmount School of Music, the American Institute of Musical Studies in Graz, Austria and the Illuminations Festival in Manteo, NC. Johnston joined the piano staff of UNCSA in 1983 and made her Weill Recital Hall debut in 1985.