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Contact Information

STACI L JOHNSON, APRN
2751 DEBARR RD STE 310
ANCHORAGE, AK99508-6804
 Phone: 907-277-9700
 Fax: 907-868-1215
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pain Management

163WP0000X
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for STACI L JOHNSON · (Female)

NPI Number 1538325907
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/05/2008
Last updated 09/29/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 1097
  • AK Medicaid 1022282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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