Individual provider · Type 1 NPI

Stacy Ann Johnson, R.N.

Adult Health Nurse Practitioner · Rochester, NY

NPI number 1083967616 Active

Practice location

1415 Portland Ave Ste 200
Rochester, NY 14621-3022

Fax (585) 922-0395

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 · (585) 368-4050
  • 300 Crosman Ter, Rochester, NY 14620-1822 · (585) 773-1849

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X309651 (NY)
Registered Nurse 163W00000X577104 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1083967616

Stacy Ann Johnson, R.N.'s National Provider Identifier is 1083967616, issued on Oct 19, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rochester, NY. The record was last updated on Feb 1, 2023.