KHADIJAH JOHNSON

Community Health Worker

Active Individual
NPI: 1063380590

Practice Address

3101 LATHROP ST
Fairbanks, AK 99701

Phone: (907) 474-0890

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1063380590 is the National Provider Identifier for KHADIJAH JOHNSON, a Community Health Worker provider located in Fairbanks, AK. This NPI was enumerated on October 27, 2025.
KHADIJAH JOHNSON practices at 3101 LATHROP ST, Fairbanks, AK 99701.

Quick Facts

NPI
1063380590
Type
Individual
Enumerated
Oct 27, 2025
Last Updated
Oct 27, 2025

Nearby Providers