MARIE DENISE JOHNSON NP-C NPI 1487743902

NPI Information

  • NPI: 1487743902
  • Provider Name: MARIE DENISE JOHNSON, NP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 N BRIDGE ST
    SARANAC, MI
    ZIP 48881
  • Phone: (616) 642-9408

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NPI Details

Marie Denise Johnson, NP-C is a family nurse practitioner in Saranac, MI with 20 years of experience. Marie Denise Johnson, NP-C NPI is 1487743902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2006

The provider's business location address is:

107 N BRIDGE ST
SARANAC, MI
ZIP 48881-121
Phone: (616) 642-9408
Fax: (616) 642-6940

The NPI 1487743902 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 10/12/2006 and was last updated on 10/15/2008.

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
1363LF0000XNurse PractitionerFamily4704210564MICHIGANYes

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: 11/21/2025

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