Search › Michigan › 171M00000X
Jordan Johnson
NPI 1649135237 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1096 Tahoe Trl
Flint, MI 48532 - Phone
- (810) 394-0904
Additional practice sites
- 6211 Taylor Dr, Flint, MI
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 172V00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-06
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