National Provider Identifier
Stephanie Johnson
Stephanie Johnson is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Canandaigua, NY and a listed phone number of (585) 944-3839.
Profile Overview
- NPI
- 1306674080
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 24, 2024
- Last Updated
- July 24, 2024
Practice Location
- 238 Crabapple Dr
- Canandaigua, NY 14424-9589
Phone: (585) 944-3839
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1306674080
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Stephanie
- Mailing Street Address
- 238 Crabapple Dr
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9589
- Mailing Country
- US
- Mailing Phone
- (585) 944-3839
- Practice Street Address
- 238 Crabapple Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9589
- Practice Country
- US
- Practice Phone
- (585) 944-3839
- Enumeration Date
- July 24, 2024
- Last Updated
- July 24, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 24, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)