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Stacy L Johnson, FNP-C
Psychiatric/Mental Health Nurse Practitioner in Hannibal, Missouri
NPI 1174002232

Stacy L Johnson is a Psychiatric/Mental Health Nurse Practitioner based in Wentzville, MO and is specialized in Psychiatric/Mental Health. Stacy L Johnson practices in Hannibal, MO and has the professional credentials of FNP-C. The NPI Number for Stacy L Johnson is 1174002232 and holds a License No. 2018018396 (Missouri).

The current practice location address for Stacy L Johnson is 100 Medical Dr, Hannibal, MO and can be reached out via phone at 888-256-3814.

Location: 100 Medical Dr, Hannibal, MO, 63385-6877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174002232
Provider Name
Stacy L Johnson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
100 Medical Dr, Hannibal, MO, 63385-6877
Phone Number
888-256-3814
Fax Number
Provider Enumeration Date
08/09/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420064105 05 MO
363LP0808X 01 TAXONOMY
institution
Provider Business Practice Location Address Details
Address
100 Medical Dr
City
Hannibal
State
Missouri
Zip
63401-6877
Phone Number
888-256-3814
Fax Number
person
Provider Business Mailing Address Details
Address
100 Medical Dr
City
Hannibal
State
Missouri
Zip
63401-6877
Phone Number
888-256-3814
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2020034563 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2018018396 (Missouri)
Definition
Definition to come...
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