STACY L JOHNSON

HANNIBAL, MO
NPI1174002232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MO  2020034563)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: MO  2018018396)
Enumeration Date2018-08-09
Last Update Date2024-03-13
Business Address
STACY L JOHNSON FNP-C
100 MEDICAL DR
HANNIBAL, MO 63401-6877
Phone number: 888-256-3814
Mailing Address
STACY L JOHNSON FNP-C
751 JONATHAN CODY DR
WENTZVILLE, MO 63385-6877
Phone number: 314-608-5726