Johnston, Stefani

Johnston, Stefani is an individual health care provider with primary practice located at 2512 E Dupont Rd Suite 200, Fort Wayne IN 46825-1675. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnston, Stefani can be contacted via phone (260) 432-4400.

Contact Information

Primary practice address
2512 E Dupont Rd Suite 200 Fort Wayne IN 46825-1675
Phone: (260) 432-4400
Fax: (260) 969-6898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28113743A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000852A Indiana

Profile Details

NPI number 1831189554
LBN Legal business name Johnston, Stefani
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 23rd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831189554 NPPES
Indiana MEDICAID 200338290

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