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General NPI Number Information
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NPI Number | 1891732616
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Entity Type | Individual
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Provider Name | DEVENA E ALSTON-JOHNSON MD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 221 MAHALANI ST # 808244-9
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City | WAILUKU
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State | HI
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Zip | 96793-2526
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Country | US
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Telephone | 808-244-4425
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Fax | 855-827-2321
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Provider Business Mailing Address
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Address Line | 348 VINTAGE POINT LN
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City | WENDELL
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State | NC
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Zip | 27591-6858
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Country | US
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Telephone | 219-380-1257
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01040872A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2008-01388
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 32825
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD-22093
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License Number State | HI
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