STACY NICOLE JOHNSON NPI 1235672189

NPI Information

NPI: 1235672189
Provider Name: STACY NICOLE JOHNSON
Classification: Contractor - 171W00000X
Entity Type: Individual
Address:
259 GREEN MEADOWS RD
WILMER, TX
ZIP 75172
Phone: (469) 231-4293
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Stacy Nicole Johnson is a contractor in Wilmer, TX. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Stacy Nicole Johnson NPI is 1235672189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

259 GREEN MEADOWS RD
WILMER, TX
ZIP 75172-336
Phone: (469) 231-4293

The enumeration date for this NPI number is 11/27/2016 and was last updated on 11/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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