Individual
STEPHANIE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 W MAIN ST, SPRINGPORT, MI 49284-9517
(517) 857-3495
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704289405
MI
363LP0200X
Pediatric Nurse Practitioner
4704289405
MI
Other
Enumeration date
09/19/2014
Last updated
01/15/2024
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