Individual provider · Type 1 NPI

Stacey Leigh Coon-Walsh, CRNP

Nurse Practitioner · Johnson City, NY

NPI number 1376949941 Active

Practice location

30 Harrison St Ste 400
Johnson City, NY 13790-2176

Call (607) 763-8008 Map

Fax (607) 763-8019

Mailing address

33 Lewis Rd, 2nd Fl
Binghamton, NY 13905

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XSP014441 (PA)
Nurse Practitioner Primary 363L00000X310143 (NY)

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 1376949941

Stacey Leigh Coon-Walsh, CRNP's National Provider Identifier is 1376949941, issued on Nov 10, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Johnson City, NY. The record was last updated on Jan 14, 2021.