Individual
AUDREE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23077 GREENFIELD RD STE 234, SOUTHFIELD, MI 48075-3722
(877) 316-8773
(313) 488-1624
Mailing address
1032 E BRANDON BLVD STE 4567, BRANDON, FL 33511-5509
(201) 474-5844
(855) 737-3901
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R057488
SD
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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