1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Licensed Practical Nurse
  6. NPI Profile

ANTWONE JOHNSON SR. LPN
NPI 1558604801
Licensed Practical Nurse in Detroit, MI

Active since April 04, 2013
9605 GRAND RIVER AVE, DETROIT, MI 48204(313) 834-5930 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antwone Johnson Sr. Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTWONE JOHNSON SR. LPN (NPI 1558604801) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703110366) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1558604801
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameANTWONE JOHNSON SR.Credential: LPN
Location Address9605 GRAND RIVER AVEDetroit, MI 48204-2139
Mailing Address3851 Mcclellan StDetroit, MI 48214-1311 · (313) 829-2557
Phone(313) 834-5930
Sole ProprietorNo
Enumeration DateApril 4, 2013
✔ NPI 1558604801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703110366
Definition
A licensed practical nurse 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.
9605 GRAND RIVER AVE, Detroit, MI 48204
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARDIN PARK RECOVERY CENTER,INC.
Clinic/Center (Methadone)
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
MS. ANGELA L WATSON
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
DR. TIMOTHY ALAN WILLIAMS MDIV, DMIN, MA, ACC
Case Manager/Care Coordinator
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (678) 870-5515
MRS. GERALDINE MOREHEAD-JOHNSON RN
Registered Nurse
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
DR. JULIAN M GORDON PH.D.
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
MR. JAMES DARRYL PARKS FAODP
Counselor
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
RASHIDA KING
Licensed Practical Nurse
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
ILENE BISHAW
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antwone Johnson's NPI number?

The NPI number for Antwone Johnson is 1558604801. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Antwone Johnson located?

Antwone Johnson practices at 9605 Grand River Ave, Detroit, MI 48204. The listed phone number is (313) 834-5930.

What is Antwone Johnson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Antwone Johnson was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.