Individual
MS. KAYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 257-3705
Mailing address
1040 W BRISTOL RD, FLINT, MI 48507-5516
(810) 257-3705
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704370692
MI
247200000X
Other Technician
Primary
UNKNOWN
MI
Other
Enumeration date
05/09/2018
Last updated
04/02/2026
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