Individual
MRS. ALICIA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5566 JORDAN RD, ELBRIDGE, NY 13060-9617
(315) 689-1833
(315) 389-1834
Mailing address
1001 W FAYETTE ST STE 400, SYRACUSE, NY 13204-2866
(315) 937-3026
(315) 937-3126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F347820
NY
Other
Enumeration date
03/03/2022
Last updated
02/08/2024
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