Johnson, Theresa
Johnson, Theresa is an individual health care provider with primary practice located at 3200 Greenfield Rd Ste 300 , Dearborn MI 48120-1805. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Theresa can be contacted via phone (313) 334-6395.Contact Information
Primary practice address
3200 Greenfield Rd Ste 300
Dearborn MI 48120-1805
Phone: (313) 334-6395
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704285116 | Michigan |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704285116 | Michigan |
Profile Details
NPI number | 1366849069 |
---|---|
LBN Legal business name | Johnson, Theresa |
Credentials | DNP, MS,FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 24th, 2014 |
Last updated | Nov 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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