IndividualActive
Alicia Johnson, FNP-C
NPI 1376406793 · Family Medicine Physician · Canton, IL
Provider details
- NPI number
- 1376406793
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 209.034133 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
180 S Main St
Canton, IL 61520-2608
Phone: (309) 647-0201
Approximate (ZIP-level) locationGet directions
Mailing address
17295 N Speedway Rd
Lewistown, IL 61542-9446
Registry dates
- Enumerated
- 2025-12-03
- Last updated
- 2025-12-03
- Certified
- 2025-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.