Individual
MS. STEPHANIE LYNN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 CARPENTER RD, OCCUPATIONAL HEALTH CENTER, BLDG 525, FT MYER, VA 22211-1009
(703) 696-7920
(703) 696-5048
Mailing address
401 CARPENTER RD, OCCUPATIONAL HEALTH CENTER, BLDG 525, FT MYER, VA 22211-1009
(703) 696-7920
(703) 696-5048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002070873
VA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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