MARTHA STACY JOHNSON

KOKOMO, IN
NPI1912736141
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71015636A)
Enumeration Date2024-07-27
Last Update Date2024-10-17
Business Address
MARTHA STACY JOHNSON PMHNP
702 W ALTO RD
KOKOMO, IN 46902-4907
Phone number: 317-876-3699
Mailing Address
MARTHA STACY JOHNSON PMHNP
702 W ALTO RD
KOKOMO, IN 46902-4907
Phone number: 317-876-3699
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