Individual
ALLISON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
816 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2545
(716) 969-3378
Mailing address
27 MAPLEVIEW AVE, LAKEWOOD, NY 14750-1621
(716) 969-3378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630594
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382372
NY
Other
Enumeration date
12/16/2012
Last updated
01/31/2014
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