Stacy Kristina Johnson, N.P.

Nurse Practitioner · Saint Cloud, MN

Individual Active NPI

NPI number 1215110341

Practice location

1555 Northway Dr
Saint Cloud, MN 56303-4555
Phone
(320) 259-4100
Fax
(320) 259-8044

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NPI record

NPI
1215110341
Entity type
Individual (Type 1)
Enumeration date
December 12, 2007
Last updated
December 12, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X R182400-7 MN

About Stacy Johnson

Stacy Kristina Johnson, N.P. is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1555 Northway Dr, Saint Cloud, MN 56303-4555. The NPI number 1215110341 was assigned on December 12, 2007 and the record was last updated on December 12, 2007.

Stacy Johnson lists a license in the registry: #R182400-7 (MN) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacy Kristina Johnson, N.P.?

The NPI number is 1215110341.

What is the phone number of Stacy Johnson?

The phone number listed for the practice location is (320) 259-4100.

Where is Stacy Johnson located?

1555 Northway Dr, Saint Cloud, MN 56303-4555.

What is the taxonomy code for Stacy Johnson?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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