Search › Michigan › Acute Care Nurse Practitioner
Shantae Johnson, AGACNP-BC
NPI 1417406752 · on the registry since 2016 · sole proprietor
Practice
- Address
- 100 Mack Ave Fl 1
Detroit, MI 48201 - Phone
- (313) 818-8207
- Organisation at this address
- City Of Detroit
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 6071 W Outer Dr, Detroit, MI
Registry record
- Primary taxonomy
- Acute Care Nurse Practitioner
363LA2100X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-29
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