Individual
ALEXANDRIA DANIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2373 W. MAIN ST., SUITE 102, SALEM, WV 26426
(304) 782-2000
(304) 782-3102
Mailing address
PO BOX 392, SALEM, WV 26426-0392
(304) 782-2000
(304) 782-3102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN80021NP
WV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN80021NP
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN80021NP
LICENSE
WV
Enumeration date
08/26/2013
Last updated
09/02/2023
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