Individual
STEPHANIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 CROSBY RD STE 1, DOVER, NH 03820-4370
(603) 516-9300
Mailing address
4 GEORGIANNA WAY, SOUTH BERWICK, ME 03908-1771
(978) 490-5548
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
077584-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP221184
ME
Other
Enumeration date
07/12/2018
Last updated
06/28/2022
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