HATTIE JOHNSON NPI 1790577179

NPI Information

  • NPI: 1790577179
  • Provider Name: HATTIE JOHNSON
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Individual
  • Address: 17250 W 12 MILE RD STE 211A
    SOUTHFIELD, MI
    ZIP 48076
  • Phone: (248) 508-2858

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NPI Details

Hattie Johnson is a student health clinic center in Southfield, MI. Hattie Johnson NPI is 1790577179. 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:

17250 W 12 MILE RD STE 211A
SOUTHFIELD, MI
ZIP 48076-123
Phone: (248) 508-2858

The enumeration date for this NPI number is 5/21/2025 and was last updated on 5/21/2025.

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
1261QS1000XClinic/CenterStudent HealthYes

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

NPI Synchronization or Removal

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