Healthcare Provider Details

I. General information

NPI: 1922560333
Provider Name (Legal Business Name): ALEXANDRA RAYE JOHNSTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US FLEET FORCES COMMAND - MEDICAL OTS 1562 MITSCHER AVENUE, SUITE 250
NORFOLK VA
23551-2487
US

IV. Provider business mailing address

US FLEET FORCES COMMAND - MEDICAL OTS 1562 MITSCHER AVENUE, SUITE 250
NORFOLK VA
23551-2487
US

V. Phone/Fax

Practice location:
  • Phone: 757-836-5929
  • Fax:
Mailing address:
  • Phone: 757-836-5929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number32773
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101283218
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: