Individual provider · Type 1 NPI

Stacy L. Johnson, NP

Family Nurse Practitioner · Columbus, OH

NPI number 1417907189 Active

Practice location

2 Miranova Pl Ste 500
Columbus, OH 43215-7052

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71002173A (IN)
Nurse Practitioner 363L00000X28140959A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1417907189

Stacy L. Johnson, NP's National Provider Identifier is 1417907189, issued on May 11, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbus, OH. The record was last updated on Oct 29, 2026.