Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY JOHNSON, MD
ActiveSTACEY JOHNSON, MD is a Family Medicine healthcare provider located in CORNETTSVILLE, Kentucky. NPI 1851328900 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CORNETTSVILLE, KY
Registration Details
- NPI Number
- 1851328900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 26, 2006 (20.132868517882 yrs)
- Last Updated
- Jul 8, 2007
- License
-
38781 (KY)
Practice Information
- Address
-
464 KY HIGHWAY 699CORNETTSVILLE, KY, 41731Browse KY providers · Browse ZIP 41731
- Phone
- 6064762593
- Fax
- 6064762347
- Primary Specialty
-
Family Medicine
207Q00000X
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.