Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacey Lynn Johnville, RN

Individual provider Registered Nurse · NPI 1740564228

Mrs. Stacey Lynn Johnville, RN is a Registered Nurse in Williamson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3820 Mystic Meadows Ln
Williamson, NY 14589-9549
Phone: (315) 589-4028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 623319-1 (NY)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 623319-1 (NY)

Record details

NPI number1740564228
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 3, 2011
Last updated in NPPESOctober 3, 2011

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