MRS. Stacey Lynn Johnville, RN
NPI #1740564228 in Williamson, New York
Provider Information
- NPI Number
- 1740564228
- Entity Type
- Individual
- Name
- MRS. Stacey Lynn Johnville, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Oct 3, 2011
- Last Updated
- Oct 3, 2011
Practice Location
- Address
- 3820 MYSTIC MEADOWS LN
- City
- Williamson
- State
- New York
- ZIP Code
- 14589-9549
- Phone
- (315) 589-4028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Registered Nurse - Home Health — Home Health |
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