Individual provider · Type 1 NPI

Stephanie L. Johnson, NNP

Neonatal Nurse Practitioner · Portland, OR

NPI number 1427361690 Active

Practice location

2801 N Gantenbein Ave, Nicu
Portland, OR 97227-1623

Fax (503) 413-2145

Mailing address

2801 N. Gantenbein Ave., Nicu
Portland, OR 97227-1623

Specialties and licenses

TaxonomyCodeLicense
Neonatal Nurse Practitioner Primary 363LN0000X201050065 (OR)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1427361690

Stephanie L. Johnson, NNP's National Provider Identifier is 1427361690, issued on Jul 16, 2010. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Portland, OR. The record was last updated on Jul 16, 2010.