STACEY JOHNSON


Address: 4301 W Markham St # 519, Little Rock, AR 72205-7101
Phone: 5015267017

STACEY JOHNSON (NPI# 1689005993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689005993
Entity Type Individual
Full Name STACEY JOHNSON
Credential APRN, CNP
Practice Address 4301 W Markham St # 519
Little Rock
AR 72205-7101
Practice Telephone 5015267017
Mailing Telephone 5017332967
Enumeration Date 2013-12-12
Last Update Date 2013-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
A003751 AR Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY JOHNSON

NPI Name Taxonomy Address Enumeration
1871004382 Stacey Lin Johnson Counselor 303 N Burlington Ave Ste C, Hastings, NE 68901-5085 2017-10-24
1225586126 Stacey Johnson Community Health Worker 30422 Laurelwood Ln, Wesley Chapel, FL 33543-4452 2016-09-20
1083020614 Stacey Elizabeth Johnson Counselor 3419 Ne Sandy Blvd., Portland, OR 97232-1959 2014-07-03
1083036206 Stacey Johnson Marriage & Family Therapist 1056 W 49th St, Los Angeles, CA 90037-2922 2014-01-07
1003116997 Stacey M Johnson Registered Nurse 12605 E 16th Ave Fl Aip23, Aurora, CO 80045-2545 2010-10-26
1033442918 Stacey K Johnson Registered Nurse 150 Landers St, Apt 2, San Francisco, CA 94114-4706 2009-09-10
1821262429 Stacey Smith Johnson Dietitian, Registered 96 Ali Way Creekside South, Oxford, AL 36203 2008-04-15
1467656199 Stacey Ann Johnson Speech-Language Pathologist 2922 N Seeley Ave, Chicago, IL 60618-8211 2007-06-14
1003441379 Stacey Johnson Early Intervention Provider Agency 1002 S Dillard St Ste 106, Winter Garden, FL 34787-3991 2020-03-06
1154951192 Stacey Lynne Johnson Nurse Practitioner 601 1st Ave N, Great Falls, MT 59401-2510 2020-01-17

Office Location

Street Address 4301 W MARKHAM ST # 519
City LITTLE ROCK
State AR
Zip Code 72205-7101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932719465 Darleisha Renee Stigall Behavior Technician 1210 Aldersdate Rd, Little Rock, AR 72205 2020-08-10
1316563638 Unknown Amisha Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 2020-06-23
1225667272 Ann-marie Frances Hayre Student in an Organized Health Care Education/Training Program 4310 West Markham, Slot 589, Little Rock, AR 72205 2020-04-02
1952930075 Alexandria Leigh Smith Student in an Organized Health Care Education/Training Program 4301 West Markham St, Slot 531, Little Rock, AR 72205 2020-04-02
1093353922 Phil Fagala Pharmacist 614 North Beechwood, Little Rock, AR 72205 2019-12-10
1295391688 Home To Community Living, Inc Physical Therapist 10201 W Markham Street Pulaski, Little Rock, AR 72205 2019-05-12
1669933693 Sandy Louise Webb Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 530, Little Rock, AR 72205 2019-03-31
1457812828 Vincent Battafarano Student in an Organized Health Care Education/Training Program 4301 West Markham, Slot 602, Little Rock, AR 72205 2019-03-28
1063978922 Franks Pediatric Occupational Therapy LLC Occupational Therapist 5516 C St, Little Rock, AR 72205 2019-02-15
1497210199 Integrative Counseling Center LLC Counselor 10515 W Markham St Ste D3, Little Rock, AR 72205 2019-02-06
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194074393 Crystal Dawn Marcussen Nurse Practitioner 4301 W Markham St # 547-07, Little Rock, AR 72205-7101 2012-09-04
1306211966 Sarah Holland Nurse Practitioner 1 Lile Ct Ste 200, Little Rock, AR 72205-6240 2015-12-08
1538571575 Shannon Renee Graham Nurse Practitioner 4301 W Markham St, Little Rock, AR 72205-7101 2014-05-27
1386060218 Amanda Kay Payne Nurse Practitioner 9601 Baptist Health Drive, Suite 1200, Little Rock, AR 72205 2014-03-17
1134550767 Megan Tucker Nurse Practitioner 5800 W 10th St, Little Rock, AR 72204-1752 2013-12-08
1063725711 Becca Carle Austin Nurse Practitioner 5 Saint Vincent Cir Ste 300, Little Rock, AR 72205 2010-07-23
1396060356 Tesa L Ivey Nurse Practitioner 4301 W Markham St, Slot 519, Little Rock, AR 72205-7101 2010-04-02
1801026620 Edwina Sue Walthall Nurse Practitioner 4301 W Markham St, Little Rock, AR 72205-7101 2009-07-15
1982847224 Ashley Brooke Keathley Nurse Practitioner 4301 W Markham St # 783, Little Rock, AR 72205-7101 2009-04-16
1396835880 Rosalyn Perkins Nurse Practitioner 4301 W Markham St # 783, Little Rock, AR 72205-7101 2006-10-13
Find all providers in LITTLE ROCK

Competitor

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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