Individual
ALEXANDRA LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4545 R ST, 100, LINCOLN, NE 68503-3799
(402) 465-4545
(402) 465-3621
Mailing address
4545 R ST, 100, LINCOLN, NE 68503-3799
(402) 465-4545
(402) 465-3621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1857
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1857
LICENSE
NE
Enumeration date
11/04/2014
Last updated
10/18/2017
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