Individual provider · Type 1 NPI
Lori Sue Johnson, NP
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1982110367
Active
Practice location
275 Michigan St NE
Grand Rapids, MI 49503-2531
Fax (616) 391-9010
Mailing address
100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704166647 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704166647 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982110367
Lori Sue Johnson, NP's National Provider Identifier is 1982110367, issued on Dec 20, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 27, 2025.