Search › Michigan › 172V00000X
Nedra Johnson
NPI 1326879099 · on the registry since 2024
Practice
- Address
- 12850 Plymouth Rd
Detroit, MI 48227 - Phone
- (313) 491-7890
- Fax
- (313) 491-0010
- Organisation at this address
- Detroit Community Care Network L3c
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan