Individual
ALISA LUCERO JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1359 SPRING HILL AVE, MOBILE, AL 36604-3210
(251) 241-0905
Mailing address
1359 SPRING HILL AVE, MOBILE, AL 36604-3210
(251) 241-0905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-130329
AL
Other
Enumeration date
10/03/2017
Last updated
09/10/2024
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