Individual
STACEY LYNNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 29TH ST S STE 218, GREAT FALLS, MT 59405-5315
(406) 384-7002
(406) 794-0555
Mailing address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 454-6973
(406) 791-9277
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
150624
MT
Other
Enumeration date
01/17/2020
Last updated
12/07/2023
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