| NPI | 1104135052 |
|---|---|
| Professional Name | STEPHANIE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 014259) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 4777) |
| 363A00000X Physician Assistant (Licence: FL 9108630) | |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2021-07-06 |