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STACY JOHNSON, NP
NP
Family Nurse Practitioner
NPI: 1417907189IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
28140959A(IN)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
71002173A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2006
Contact & Hours
- Address
- 2510 E DUPONT RD STE 226
FORT WAYNE, IN 46825 - Phone
- (260) 460-3100
Quick Facts
- NPI
- 1417907189
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 20
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