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Alisa Lucero Johnston
Family Nurse Practitioner in Mobile, Alabama
NPI 1770093882

Alisa Lucero Johnston is a Family Nurse Practitioner based in Mobile, AL and is specialized in Family. Alisa Lucero Johnston practices in Mobile, AL. The NPI Number for Alisa Lucero Johnston is 1770093882 and holds a License No. 1-130329 (Alabama).

The current practice location address for Alisa Lucero Johnston is 1359 Spring Hill Ave, Mobile, AL and can be reached out via phone at 251-241-0905.

Location: 1359 Spring Hill Ave, Mobile, AL, 36604-3210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770093882
Provider Name
Alisa Lucero Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
1359 Spring Hill Ave, Mobile, AL, 36604-3210
Phone Number
251-241-0905
Fax Number
Provider Enumeration Date
10/03/2017
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1359 Spring Hill Ave
City
Mobile
State
Alabama
Zip
36604-3210
Phone Number
251-241-0905
Fax Number
person
Provider Business Mailing Address Details
Address
1359 Spring Hill Ave
City
Mobile
State
Alabama
Zip
36604-3210
Phone Number
251-241-0905
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-130329 (Alabama)
Definition
Definition to come...
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