Healthcare Provider Details

I. General information

NPI: 1073731006
Provider Name (Legal Business Name): ALEXINNA CIANA JOHNS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZINNA JOHNS

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 3RD ST SE STE 240
PUYALLUP WA
98372-3771
US

IV. Provider business mailing address

1322 3RD ST SE STE 240
PUYALLUP WA
98372-3771
US

V. Phone/Fax

Practice location:
  • Phone: 253-697-5757
  • Fax:
Mailing address:
  • Phone: 253-697-5757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60003312
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberCDR.0003094
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberCDR0003094
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD60003312
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD60003312
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number39020000X
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: