Individual
ALEXIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
12 CRANDALL ST, PROVIDENCE, RI 02908-1304
(401) 644-1181
Mailing address
12 CRANDALL ST, PROVIDENCE, RI 02908-1304
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
201958
RI
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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