Individual
STEPHANIE NICHOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
1321 S. GEAR AVE, WEST BURLINGTON, IA 52655
(319) 768-4320
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1681
(319) 768-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A166583
IA
Other
Enumeration date
12/10/2021
Last updated
08/29/2022
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