STEPHANIE MAE JOHNSON APRN NPI 1669126173

NPI Information

  • NPI: 1669126173
  • Provider Name: STEPHANIE MAE JOHNSON, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5100 N 12TH AVE STE 101
    PENSACOLA, FL
    ZIP 32504
  • Phone: (850) 208-6130

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NPI Details

Stephanie Mae Johnson, APRN is a family nurse practitioner in Pensacola, FL with 5 years of experience. Stephanie Mae Johnson, APRN NPI is 1669126173. 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:

5100 N 12TH AVE STE 101
PENSACOLA, FL
ZIP 32504-919
Phone: (850) 208-6130

The NPI 1669126173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 8/11/2025.

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
1363LF0000XNurse PractitionerFamilyAPRN11018421FLORIDAYes

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: 11/21/2025

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