Individual
DE'SHARRAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Mailing address
808 WILDWOOD AVE, JACKSON, MI 49202-4219
(517) 257-7262
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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