Individual provider · Type 1 NPI

Shanae Johnson

Licensed Practical Nurse · Detroit, MI

NPI number 1457293755 Active

Practice location

14440 Collingham Dr
Detroit, MI 48205-1219

Call (586) 388-4812 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703130284 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1457293755

Shanae Johnson's National Provider Identifier is 1457293755, issued on Apr 7, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Apr 7, 2026.