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MRS. STACIE LEE JOHNSON LPN
NPI 1407275506
Licensed Practical Nurse in Wrentham, MA

Active since April 16, 2014
74 BERRY ST, WRENTHAM, MA 02093(774) 219-4588 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Stacie Lee Johnson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACIE LEE JOHNSON LPN (NPI 1407275506) is an individual licensed practical nurse in Wrentham, Massachusetts, licensed in Massachusetts (LN86901) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1407275506
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. STACIE LEE JOHNSONCredential: LPN
Location Address74 BERRY STWrentham, MA 02093-1522
Mailing Address74 Berry St Po Box 45Wrentham, MA 02093 · (774) 219-4588
Phone(774) 219-4588
Sole ProprietorYes
Enumeration DateApril 16, 2014
✔ NPI 1407275506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MA · LN86901
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

74 BERRY ST, Wrentham, MA 02093
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Frequently Asked Questions

What is Stacie Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1407275506, enumerated as an "individual" on April 16, 2014.

Where is the provider located?

The provider is located at 74 BERRY ST WRENTHAM, MA 02093 and the phone number is (774) 219-4588.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.