Healthcare Provider Details

I. General information

NPI: 1205755956
Provider Name (Legal Business Name): ALANNA MARGARET JOHNSON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2946 E BANNER GATEWAY DR
GILBERT AZ
85234-2165
US

IV. Provider business mailing address

598 E CASTLE ROCK RD
SAN TAN VALLEY AZ
85143-6207
US

V. Phone/Fax

Practice location:
  • Phone: 480-256-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number342796
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: