STACEY JOHNSON

COAL CITY, IL
NPI1679978803
Former NameSTACEY MCGUAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209012102)
Enumeration Date2014-10-30
Last Update Date2019-11-25
Business Address
STACEY JOHNSON FNP/BC
4 E NORTH ST
COAL CITY, IL 60416-1087
Phone number: 815-518-5755
Mailing Address
STACEY JOHNSON FNP/BC
725 SCHOOL ST STE A
MORRIS, IL 60450-1207
Phone number: 815-941-9124
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