Individual
LACEY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
228 HOPKINSVILLE ST, GREENVILLE, KY 42345-1214
(270) 377-3077
(270) 377-3002
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008081
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100249540
—
KY
Enumeration date
06/27/2013
Last updated
02/11/2025
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