MR. Nicholas David Johnson, PA is a medical physician assistant in Grand Rapids, MI with 7 years of experience. MR. Nicholas David Johnson, PA NPI is 1427558477. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503-502
Phone: (616) 685-5000
The NPI 1427558477 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 2/16/2018 and was last updated on 2/16/2018.