Individual provider · Type 1 NPI

Clifford Johnson Jr.

Licensed Practical Nurse · Novi, MI

NPI number 1629407564 Active

Practice location

41621 W 11 Mile Rd
Novi, MI 48375-1804

Call (248) 299-0030 Map

Mailing address

900 Whitmore Rd, Apt 307
Highland Park, MI 48203-4047

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703082448 (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 1629407564

Clifford Johnson Jr.'s National Provider Identifier is 1629407564, issued on Nov 1, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Novi, MI. The record was last updated on Nov 1, 2013.