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Stacy Michele Johnson, RN

Registered Nurse in Peebles, OH. Individual provider (NPI-1).

NPI number1699208553
StatusActive
Last updated in NPPESApr 7, 2017

Details

NPI
1699208553
Entity type
Individual (NPI-1)
Name
Mrs. Stacy Michele Johnson
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2017
Last updated
Apr 7, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN386276OHYes

Practice location

1934 Parker Ridge Rd
Peebles, OH 45660-9161

Phone 937-588-5203

Mailing address

1934 Parker Ridge Rd
Peebles, OH 45660-9161

Phone 937-588-5203

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