Individual provider · Type 1 NPI

Stacey Johnson, FNP

Family Nurse Practitioner · New York, NY

NPI number 1760839831 Active

Practice location

301 E 17th St
New York, NY 10003-3804

Fax (212) 598-6017

Mailing address

32 Firethorne Ln
Valley Stream, NY 11581-1754

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF338287-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1760839831

Stacey Johnson, FNP's National Provider Identifier is 1760839831, issued on May 19, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on May 19, 2016.