Individual
JENNIFER S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19310 WOODWORTH, REDFORD, MI 48240-2612
(313) 380-1288
Mailing address
19310 WOODWORTH, DETROIT, MI 48240-2612
(313) 380-1288
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
MI
376J00000X
Homemaker
—
MI
Other
Enumeration date
11/15/2019
Last updated
03/05/2026
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