Mrs Stacie Lee Johnson, LPN is a
Licensed Practical Nurse based in Wrentham, Massachusetts. Mrs Stacie Lee Johnson is licensed to practice in Massachusetts (license number LN86901) and her current practice location is
74 Berry St, Wrentham, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(774) 219-4588.
NPI number for Mrs Stacie Lee Johnson is 1407275506 and her current mailing address is 74 Berry St Po Box 45, Wrentham, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407275506.
Provider's Profile
Full Name | Mrs Stacie Lee Johnson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 74 Berry St, Wrentham, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407275506
- Provider Enumeration Date: 04/16/2014
- Last Update Date: 04/16/2014
Medical Identifiers
Medical identifiers for Mrs Stacie Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407275506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LN86901 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Stacie Lee Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Stacie Lee Johnson, LPN 74 Berry St Po Box 45, Wrentham, MA 02093 Ph: (774) 219-4588 | Mrs Stacie Lee Johnson, LPN 74 Berry St, Wrentham, MA 02093-1522 Ph: (774) 219-4588 |
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