SearchOhio164W00000X

Stacy Johnson, LPN

NPI 1851579387 · on the registry since 2008 · sole proprietor

Practice

Address
326 Shade Dr
Fairborn, OH 45324
Phone
(937) 361-9764

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio