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Alexis Johnson
Student in an Organized Health Care Education/Training Program in Centerton, Arkansas
NPI 1881470821

Alexis Johnson is a Student in an Organized Health Care Education/Training Program based in Centerton, AR. Alexis Johnson practices in Centerton, AR. The NPI Number for Alexis Johnson is 1881470821 and holds a License No. 202426 (Arkansas).

The current practice location address for Alexis Johnson is 1550 Gamble Rd, Centerton, AR and can be reached out via phone at 479-696-3400.

Location: 1550 Gamble Rd, Centerton, AR, 72719-4101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881470821
Provider Name
Alexis Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1550 Gamble Rd, Centerton, AR, 72719-4101
Phone Number
479-696-3400
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1550 Gamble Rd
City
Centerton
State
Arkansas
Zip
72719-4101
Phone Number
479-696-3400
Fax Number
person
Provider Business Mailing Address Details
Address
1550 Gamble Rd
City
Centerton
State
Arkansas
Zip
72719-4101
Phone Number
479-696-3400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
202426 (Arkansas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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