Individual
ALICIA JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
Mailing address
17295 N SPEEDWAY RD, LEWISTOWN, IL 61542-9446
(309) 647-0201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209.034133
IL
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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