MEDICARE: ALFATESHESIA JOHNSON FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	335144	AZ
2	207R00000X	Internal Medicine Physician	335144	AZ

General Provider Information

NPI Number	:	1396696555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFATESHESIA JOHNSON FNP-BC

Provider Business Mailing Address
First Line	:	1300 S WATSON RD A-114
Second Line	:	504
City	:	BUCKEYE
State	:	AZ
Zip	:	85326
Country	:	US
Telephone Number	:	602-600-5026
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 S WATSON RD A-114
Second Line	:	504
City	:	BUCKEYE
State	:	AZ
Zip	:	85326
Country	:	US
Telephone Number	:	602-600-5026
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/27/2026

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