Individual
MRS. VANESSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7751 BYRON CENTER AVE SW STE C, BYRON CENTER, MI 49315-8001
(616) 267-7725
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704319242
MI
Other
Enumeration date
06/23/2022
Last updated
09/09/2022
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