Individual provider · Type 1 NPI

Stacy Kristina Johnson, N.P.

Nurse Practitioner · St. Cloud, MN

NPI number 1215110341 Active

Practice location

1555 Northway Dr
St. Cloud, MN 56303-4555

Fax (320) 259-8044

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR182400-7 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1215110341

Stacy Kristina Johnson, N.P.'s National Provider Identifier is 1215110341, issued on Dec 12, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Cloud, MN. The record was last updated on Dec 12, 2007.