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Stacy Lynn Congdon, FNP
Family Nurse Practitioner in Johnson City, New York
NPI 1265661490

Stacy Lynn Congdon is a Family Nurse Practitioner based in Johnson City, NY and is specialized in Family. Stacy Lynn Congdon practices in Johnson City, NY and has the professional credentials of FNP. The NPI Number for Stacy Lynn Congdon is 1265661490 and holds a License No. 335984 (New York).

The current practice location address for Stacy Lynn Congdon is 40 Arch St, Johnson City, NY and can be reached out via phone at 607-763-6092 and via fax at 607-763-6677.

Location: 40 Arch St, Johnson City, NY, 13790-2558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265661490
Provider Name
Stacy Lynn Congdon
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
40 Arch St, Johnson City, NY, 13790-2558
Phone Number
607-763-6092
Fax Number
607-763-6677
Provider Enumeration Date
07/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03126056 05 NY
institution
Provider Business Practice Location Address Details
Address
40 Arch St
City
Johnson City
State
New York
Zip
13790-2102
Phone Number
607-763-6092
Fax Number
607-763-6677
person
Provider Business Mailing Address Details
Address
40 Arch St
City
Johnson City
State
New York
Zip
13790-2102
Phone Number
607-763-6092
Fax Number
607-763-6677
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
335984 (New York)
Definition
Definition to come...
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