Individual provider · Type 1 NPI

Alicia Johnston, NP

Nurse Practitioner · Philadelphia, PA

NPI number 1134039332 Active

Practice location

2813 Cottman Ave
Philadelphia, PA 19149-1421

Mailing address

1201 Langhorne Newtown Rd, Mail Room
Langhorne, PA 19047-1201

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP036591 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134039332

Alicia Johnston, NP's National Provider Identifier is 1134039332, issued on Sep 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 30, 2026.