Stephanie Johnson, LPN Valid NPI
Individual provider · Licensed Practical Nurse · Fort Wayne, IN
- NPI
- 1376245886
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 27054693A (IN)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-03-20
- Last updated
- 2023-03-20
Practice location
2121 Lake Ave
Fort Wayne, IN 46805-5100
(260) 426-5434