person
Mrs. Mattie B. Johnson, AGPCNP
Primary Care Nurse Practitioner in Detroit, Michigan
NPI 1750808648

Mattie B. Johnson is a Primary Care Nurse Practitioner based in Detroit, MI and is specialized in Primary Care. Mattie B. Johnson practices in Detroit, MI and has the professional credentials of AGPCNP. The NPI Number for Mattie B. Johnson is 1750808648 and holds a License No. 4704224916 (Michigan).

The current practice location address for Mattie B. Johnson is 13599 Virgil St, Detroit, MI and can be reached out via phone at 313-535-6050 and via fax at 313-535-6050. You can also correspond with Mattie B. Johnson through the mailing address at 13599 VIRGIL ST, DETROIT, MI - 48223-3050 (mailing address contact number: 313-535-6050).

Location: 13599 Virgil St, Detroit, MI, 48223-3050
person
Provider Profile Details
NPI Number
1750808648
Provider Name
Mattie B. Johnson
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
13599 Virgil St, Detroit, MI, 48223-3050
Phone Number
313-535-6050
Fax Number
313-535-6050
Provider Enumeration Date
08/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13599 Virgil St
City
State
Zip
48223-3050
Phone Number
313-535-6050
Fax Number
313-535-6050
person
Provider Business Mailing Address Details
Address
13599 Virgil St
City
State
Zip
48223-3050
Phone Number
313-535-6050
Fax Number
313-535-6050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704224916 (Michigan)
Definition
Definition to come...
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