National Provider Identifier

Alexis Johnson

Alexis Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Phelps, NY and a listed phone number of (315) 759-4166.

NPI 1790143345Phelps, NYLicensed Practical Nurse

Profile Overview

NPI
1790143345
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
February 10, 2016
Last Updated
February 10, 2016

Practice Location

  • 394 Bostwick RD
  • Phelps, NY 14532-9309

Phone: (315) 759-4166

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1790143345
Entity Type
Individual
Last Name
Johnson
First Name
Alexis
Mailing Street Address
394 Bostwick RD
Mailing City
Phelps
Mailing State
NY
Mailing ZIP Code
14532-9309
Mailing Country
US
Mailing Phone
(315) 759-4166
Practice Street Address
394 Bostwick RD
Practice City
Phelps
Practice State
NY
Practice ZIP Code
14532-9309
Practice Country
US
Practice Phone
(315) 759-4166
Enumeration Date
February 10, 2016
Last Updated
February 10, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)