- Practice location
- 3231 S Gulley RD, Dearborn, MI 48124-4407
- Phone
- 313-418-8538
- Fax
- —
- Last updated
- February 13, 2015
Jissa Johnson is a Technician, Other based in Dearborn, MI. Jissa Johnson practices in Dearborn, MI. The NPI Number for Jissa Johnson is 1093106932. The current practice location address for Jissa Johnson is 3231 S Gulley RD, Dearborn, MI 48124-4407 and can be reached out via phone at 313-418-8538.
Provider Profile Details
- NPI Number
- 1093106932
- Provider Name
- Jissa Johnson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3231 S Gulley RD, Dearborn, MI 48124-4407
- Phone Number
- 313-418-8538
- Primary Taxonomy
- Technician, Other · 247200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 13, 2015
- Last Update Date
- February 13, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3231 S Gulley RD
Dearborn, MI 48124-4407 - City
- Dearborn
- State
- Michigan
- Zip
- 48124-4407
- Phone Number
- 313-418-8538
Provider Business Mailing Address Details
- Address
- 136 William St
Springfield, MA 01105-2324 - City
- Springfield
- State
- MA
- Zip
- 01105-2324
- Phone Number
- 800-218-9280
License Information
- Taxonomy
- Technician, Other · 247200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Technician, Others near Dearborn, MI
View all Technician, Others in Dearborn →Frequently Asked Questions
What is the NPI number of Jissa Johnson?
The NPI number of Jissa Johnson is 1093106932. It was assigned on February 13, 2015 and is currently active in the NPPES registry.
What is the specialty of Jissa Johnson?
Jissa Johnson is registered under the primary taxonomy Technician, Other (code 247200000X).
Where does Jissa Johnson practice?
The practice location is 3231 S Gulley RD, Dearborn, MI 48124-4407. The office can be reached at 313-418-8538 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093106932 directly on the NPPES registry website.