Most Relevant Information
Provider Data
| NPI Number: | 1003563768 |
| Provider Name: | ALICIA L JOHNSON FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F347820 |
Most Important Dates
| Enumeration Date: | 03/03/2022 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
5566 JORDAN RD
ELBRIDGE
NY
130609617
Practice Location Phone/Fax
| Phone: | 3156891833 |
| Fax: | 3153891834 |
Provider Mailing Location
1001 W FAYETTE ST STE 400
SYRACUSE
NY
132042866
Provider Mailing Phone/Fax
| Phone: | 3159373026 |
| Fax: | 3159373126 |