Search › Michigan › 363L00000X
Vickie Johnson, NURSE PRACTITIONER
NPI 1922338086 · on the registry since 2010
Practice
- Address
- 41800 W 11 Mile Rd Ste 109
Novi, MI 48375 - Phone
- (847) 275-9504
- Organisation at this address
- Theoria Medical
Luminary Hospice Of Michigan, Llc
Complexcare Medical Group Kansas H Llc
Complexcare Medical Group Kansas M Llc
Ellie Mental Health Live Authentic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Additional practice sites
- 311 Judges Rd Ste 4e, Wilmington, NC
- 102 Elizabeth St Ste D, Jacksonville, NC
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2200X
Psychiatric/Mental Health Nurse Practitioner - Licence states on file
- TN, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-08
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