Individual
ALYSSA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3650 S HAWTHORN DR, CHANDLER, AZ 85248-4221
(309) 643-0854
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10309
AZ
Other
Enumeration date
07/05/2017
Last updated
10/31/2022
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