Individual
STEFANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 MACK AVE STE 2, DETROIT, MI 48201-2136
(313) 448-9650
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704243069
MI
Other
Enumeration date
08/28/2025
Last updated
07/08/2026
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