National Provider Identifier
Stacy Ann Johnson, R.N.
Stacy Ann Johnson, R.N. is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-0390.
Profile Overview
- NPI
- 1083967616
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- October 19, 2012
- Last Updated
- February 01, 2023
Practice Location
- 1415 Portland Ave Ste 200
- Rochester, NY 14621-3022
Phone: (585) 922-0390
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Registered Nurse (163W00000X)
Endpoints
- stacy.johnson@rochesterregional.org
Direct Messaging Address | Rochester, NY 14621
Full Record
- NPI
- 1083967616
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Stacy
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- R.N.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 368-4050
- Mailing Fax
- (585) 723-6705
- Practice Street Address
- 1415 Portland Ave Ste 200
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3022
- Practice Country
- US
- Practice Phone
- (585) 922-0390
- Practice Fax
- (585) 922-0395
- Enumeration Date
- October 19, 2012
- Last Updated
- February 01, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Registered Nurse (163W00000X)