Individual
MRS. LINDA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FNP C
Contact information
Practice address
30920 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7738
(248) 515-7513
Mailing address
30920 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7738
(248) 515-7513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704175110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104489651
—
MI
Enumeration date
10/19/2005
Last updated
08/09/2011
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