Stacey Leigh Coon-Walsh, CRNP
Nurse Practitioner in Johnson City, NY. Individual provider (NPI-1).
NPI number1376949941
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1376949941
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Stacey Leigh Coon-Walsh
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2014
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 310143 | NY | Yes |
| 363L00000X | Nurse Practitioner | SP014441 | PA |
Other names
- Stacey Leigh Coon (Former Name)
Practice location
30 Harrison St Ste 400Johnson City, NY 13790-2176
Phone 607-763-8008 · Fax 607-763-8019
Mailing address
33 Lewis Rd2nd Fl
Binghamton, NY 13905
Phone 607-770-0025
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All 18 Nurse Practitioner providers in Johnson City · All 1,086 providers in Johnson City
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