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Stacy L Johnson, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1417907189

Stacy L Johnson is a Family Nurse Practitioner based in Indianapolis, IN and is specialized in Family. Stacy L Johnson practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Stacy L Johnson is 1417907189 and holds a License No. 28140959A (Indiana).

The current practice location address for Stacy L Johnson is 2510 E Dupont Rd Ste 226, Fort Wayne, IN and can be reached out via phone at 260-460-3100.

Location: 2510 E Dupont Rd Ste 226, Fort Wayne, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417907189
Provider Name
Stacy L Johnson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2510 E Dupont Rd Ste 226, Fort Wayne, IN, 46219-4959
Phone Number
260-460-3100
Fax Number
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200846660 05 IN
institution
Provider Business Practice Location Address Details
Address
2510 E Dupont Rd Ste 226
City
Fort Wayne
State
Indiana
Zip
46825-1603
Phone Number
260-460-3100
Fax Number
person
Provider Business Mailing Address Details
Address
2510 E Dupont Rd Ste 226
City
Fort Wayne
State
Indiana
Zip
46825-1603
Phone Number
260-460-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71002173A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28140959A (Indiana)
Definition
Definition to come...
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