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Individual

STACI JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2112 HARRISBURG PIKE STE 202, LANCASTER, PA 17601-2644
(717) 869-4600
Mailing address
2112 HARRISBURG PIKE STE 202, LANCASTER, PA 17601-2644
(717) 869-4600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019602
PA

Other

Enumeration date
10/08/2018
Last updated
12/18/2024
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