Johnson, Stacey
Johnson, Stacey is an individual health care provider with primary practice located at 4 E North St , Coal City IL 60416-1087. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Stacey can be contacted via phone (815) 518-5755.Contact Information
Primary practice address
4 E North St
Coal City IL 60416-1087
Phone: (815) 518-5755
Fax: (815) 634-4097
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209012102 | Illinois |
Profile Details
| NPI number | 1679978803 |
|---|---|
| LBN Legal business name | Johnson, Stacey |
| Credentials | FNP/BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2014 |
| Last updated | Nov 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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