Provider Demographics
NPI:1710407069
Name:JOHNS, ALISON (RN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:JOHNS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3205 SUPPLY RD
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49696-9486
Mailing Address - Country:US
Mailing Address - Phone:231-935-1070
Mailing Address - Fax:231-935-1455
Practice Address - Street 1:3205 SUPPLY RD
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49696-9486
Practice Address - Country:US
Practice Address - Phone:231-935-1070
Practice Address - Fax:231-935-1455
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704276716163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse