Individual
JANELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
11234 MAE AVE, WARREN, MI 48089-3573
(586) 746-6717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704308179
MI
Other
Enumeration date
02/20/2020
Last updated
08/19/2025
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