IndividualActive
Alice Johnson, NP-C
NPI 1558615419 · Community Health Nurse Practitioner · Detroit, MI
Provider details
- NPI number
- 1558615419
- Entity type
- Individual
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 4704218703 (MI)
Practice location
6001 W. Outer Drive
Suite 207
Detroit, MI 48235
Phone: (313) 966-2800
Fax: (313) 966-7797
Mailing address
6001 W. Outer Drive
Detroit, MI 48235
Registry dates
- Enumerated
- 2012-10-31
- Last updated
- 2016-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.