Individual provider · Type 1 NPI

Simira Johnson, NP

Nurse Practitioner · Plymouth, MI

NPI number 1902213697 Active

Practice location

15474 N Haggerty Rd
Plymouth, MI 48170-4893

Fax (734) 404-5317

Mailing address

901 Mcclintock Dr, Suite 202
Burr Ridge, IL 60527-0871

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704239161 (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 1902213697

Simira Johnson, NP's National Provider Identifier is 1902213697, issued on Jul 15, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, MI. The record was last updated on Dec 11, 2014.