Individual
MISS ALICE VICTORIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
700935
NY
163W00000X
Registered Nurse
95187800
CA
363LP0200X
Pediatric Nurse Practitioner
382724
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
95011678
CA
Other
Enumeration date
06/24/2016
Last updated
02/16/2026
Update your record
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