Individual provider · Type 1 NPI

Stacy L. Johnson, FNP-C

Psychiatric/Mental Health Nurse Practitioner · St. Peters, MO

NPI number 1174002232 Active

Practice location

255 Spencer Rd Ste 201
St. Peters, MO 63376-2576

Mailing address

751 Jonathan Cody Dr
Wentzville, MO 63385-6877

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2018018396 (MO)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2020034563 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174002232

Stacy L. Johnson, FNP-C's National Provider Identifier is 1174002232, issued on Aug 9, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Peters, MO. The record was last updated on Jul 22, 2024.