Healthcare Provider Details

I. General information

NPI: 1295687200
Provider Name (Legal Business Name): ALISON JOHNSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALISON SIZEMORE

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 FLEMINGSBURG RD
MOREHEAD KY
40351-1015
US

IV. Provider business mailing address

15715 BROWN RDG
MOREHEAD KY
40351-9417
US

V. Phone/Fax

Practice location:
  • Phone: 606-780-5500
  • Fax: 606-783-6877
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4052609
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: