Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44200 WOODWARD AVE STE 112, PONTIAC, MI 48341-5046
(248) 384-8100
(248) 384-8101
Mailing address
44200 WOODWARD AVE STE 112, PONTIAC, MI 48341-5046
(248) 384-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704321936
MI
Other
Enumeration date
10/03/2021
Last updated
03/22/2024
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