Johnson, Stacy Kristina
Johnson, Stacy Kristina is an individual health care provider with primary practice located at 1555 Northway Dr , Saint Cloud MN 56303-4555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Johnson, Stacy Kristina can be contacted via phone (320) 259-4100.Contact Information
Primary practice address
1555 Northway Dr
Saint Cloud MN 56303-4555
Phone: (320) 259-4100
Fax: (320) 259-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R182400-7 | Minnesota |
Profile Details
| NPI number | 1215110341 |
|---|---|
| LBN Legal business name | Johnson, Stacy Kristina |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2007 |
| Last updated | Dec 12th, 2007 - about 17 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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