Individual
MRS. ALEXIS ALIYHA JOHNSON-MAXIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
300 MADISON AVE, MADISON, NJ 07940-1868
(973) 822-2772
(973) 822-2773
Mailing address
6 SUMMIT ST APT 317, WEST ORANGE, NJ 07052-1502
(347) 248-1313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00951800
NJ
363L00000X
Nurse Practitioner
26NJ00951800
NY
Other
Enumeration date
01/25/2013
Last updated
03/08/2023
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