MRS. SHANTAE JOHNSON, AGACNP-BC

Nurse Practitioner - Acute Care

Active Individual
NPI: 1417406752

Practice Address

100 MACK AVE FL 1
Detroit, MI 48201

Phone: (313) 818-8207

Specialties

Specialty Code Primary License
Nurse Practitioner - Acute Care 363LA2100X Yes 4704245204 (MI)

Frequently Asked Questions

NPI 1417406752 is the National Provider Identifier for MRS. SHANTAE JOHNSON, AGACNP-BC, a Nurse Practitioner - Acute Care provider located in Detroit, MI. This NPI was enumerated on September 28, 2016.
MRS. SHANTAE JOHNSON, AGACNP-BC practices at 100 MACK AVE FL 1, Detroit, MI 48201.

Quick Facts

NPI
1417406752
Type
Individual
Enumerated
Sep 28, 2016
Last Updated
Jul 29, 2025

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