Individual provider · Type 1 NPI

Theresa Johnson, DNP, MS, FNP-BC

Nurse Practitioner · Dearborn, MI

NPI number 1366849069 Active

Practice location

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805

Call (313) 334-6395 Map

Mailing address

17778 Violet Dr
Southfield, MI 48076-2098

Other practice locations

  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 · (313) 618-9028
  • 310 Visger Rd, River Rouge, MI 48218-1037 · (313) 982-7839

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4704285116 (MI)
Nurse Practitioner Primary 363L00000X4704285116 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1366849069

Theresa Johnson, DNP, MS, FNP-BC's National Provider Identifier is 1366849069, issued on Nov 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dearborn, MI. The record was last updated on Aug 24, 2026.