Healthcare Provider Details

I. General information

NPI: 1497684724
Provider Name (Legal Business Name): ARIANA LEE JOHNSON DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8375 HIGHWAY 72 W
MADISON AL
35758-9573
US

IV. Provider business mailing address

186 SUMMER POINTE LN
MADISON AL
35757-5000
US

V. Phone/Fax

Practice location:
  • Phone: 256-265-2012
  • Fax:
Mailing address:
  • Phone: 619-240-5827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-174442
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: