Individual provider · Type 1 NPI

Stacia Dwaina Johnson

Specialist · White Plains, NY

NPI number 1891667671 Active

Practice location

1311 Mamaroneck Ave Ste 150
White Plains, NY 10605-5222

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891667671

Stacia Dwaina Johnson's National Provider Identifier is 1891667671, issued on Sep 22, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in White Plains, NY. The record was last updated on Sep 22, 2025.