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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. STACEY LYNN JOHNVILLE, RN

Active Sole Proprietor

MRS. STACEY LYNN JOHNVILLE, RN is a Registered Nurse healthcare provider located in WILLIAMSON, New York. NPI 1740564228 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · WILLIAMSON, NY

Registration Details

NPI Number
1740564228
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2011 (14.876317689362 yrs)
Last Updated
Oct 3, 2011
Licenses
623319-1 (NY)
623319-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
3820 MYSTIC MEADOWS LN
WILLIAMSON, NY, 145899549
Browse NY providers · Browse ZIP 14589
Phone
3155894028
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Home Health Nurse

Other Registered Nurse Providers in WILLIAMSON, NY

Name Credential NPI
MRS. CONSTANCE GALE LAMORA RN 1316138753
DANA STRATTON RN 1992959514
MELISSA MACKAY WANG RN 1811310725
CAROL BLOSS 1063814291
MS. AMY JUNE CRISTALES R.N. 1043677453
KATHLEEN LOGAN 1407314347
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.