Healthcare Provider Details

I. General information

NPI: 1245943828
Provider Name (Legal Business Name): BRITTNI ALEXANDRA JOHNSON CNM, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 ROUTE 73
VOORHEES NJ
08043-9526
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-341-8474
  • Fax: 856-325-5003
Mailing address:
  • Phone: 856-341-8474
  • Fax: 856-325-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25ME00081501
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25ME00081500
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00081500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: