Stacey Johnson, FNP/BC Valid NPI

Individual provider · Family Nurse Practitioner · Coal City, IL

NPI

1679978803

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

209012102 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2014-10-30

Last updated

2019-11-25