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Individual

JOHNNA BETH STAMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3120 GOVERNORS PLACE BLVD, DAYTON, OH 45409-1328
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE 200, DAYTON, OH 45414-2855
(937) 280-8400
(937) 280-8373

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
17401-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.17401
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0148154
OH
Enumeration date
06/03/2015
Last updated
01/07/2022
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