Individual
ALIA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
(618) 997-8226
Mailing address
13729 BINKLEY RD, MARION, IL 62959-7179
(618) 997-5311
(618) 997-8226
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041398110
IL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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