Individual
STEFANI JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12219 DRIFTWOOD PT, FORT WAYNE, IN 46845-6912
(260) 705-8544
Mailing address
12219 DRIFTWOOD PT, FORT WAYNE, IN 46845-6912
(260) 705-8544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28113743A
IN
363L00000X
Nurse Practitioner
Primary
71000852A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200338290
—
IN
Enumeration date
10/25/2005
Last updated
03/05/2026
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