MS. ALICE NAOMI JOHNSON NP-C NPI 1558615419

NPI Information

NPI: 1558615419
Provider Name: MS. ALICE NAOMI JOHNSON, NP-C
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Individual

Specialization: Community Health

PECOS Registration: Yes

Address:
6001 W. OUTER DRIVE
SUITE 207
DETROIT, MI
ZIP 48235
Phone: (313) 966-2800
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MS. Alice Naomi Johnson, NP-C is a community health nurse practitioner in Detroit, MI. MS. Alice Naomi Johnson, NP-C NPI is 1558615419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6001 W. OUTER DRIVE
SUITE 207
DETROIT, MI
ZIP 48235
Phone: (313) 966-2800
Fax: (313) 966-7797

The NPI 1558615419 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2012 and was last updated on 7/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	4704218703	MICHIGAN	No
2	363LP2300X	Nurse Practitioner	Primary Care	4704218703	MICHIGAN	No
3	363LC1500X	Nurse Practitioner	Community Health	4704218703	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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