Individual
JAYCI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
Mailing address
2561 ELIZABETH LAKE RD, WATERFORD, MI 48328-3313
(248) 682-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704393528
MI
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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