Johnville, Stacey Lynn

Johnville, Stacey Lynn is an sole proprietor health care provider with primary practice located at 3820 Mystic Meadows Ln , Williamson NY 14589-9549. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Johnville, Stacey Lynn can be contacted via phone (315) 589-4028.

Contact Information

Primary practice address
3820 Mystic Meadows Ln Williamson NY 14589-9549
Phone: (315) 589-4028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 623319-1 New York
Nursing Service Providers / Home Health 163WH0200X 623319-1 New York

Profile Details

NPI number 1740564228
LBN Legal business name Johnville, Stacey Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2011
Last updated Oct 3rd, 2011 - about 13 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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