Individual
STACY ANN D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5471 N UNIVERSITY DR APT 7612, LAUDERHILL, FL 33351-5147
(954) 248-8938
Mailing address
5471 N UNIVERSITY DR APT 7612, LAUDERHILL, FL 33351-5147
(954) 248-8938
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9610615
FL
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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