MRS. MATTIE B. JOHNSON AGPCNP
NPI 1750808648
Nurse Practitioner - Primary Care in Detroit, MI

Active since August 23, 2017
13599 VIRGIL ST, DETROIT, MI 48223(313) 535-6050(313) 535-6050 Get Directions Write a Review

NPPES record last updated: August 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mattie B. Johnson Agpcnp NPPES

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

MRS. MATTIE B. JOHNSON AGPCNP (NPI 1750808648) is an individual primary care provider in Detroit, Michigan, licensed in Michigan (4704224916) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1750808648
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. MATTIE B. JOHNSONCredential: AGPCNP
Location Address13599 VIRGIL STDetroit, MI 48223-3050
Mailing Address13599 Virgil StDetroit, MI 48223-3050 · (313) 535-6050
Fax(313) 535-6050
Sole ProprietorNo
Enumeration DateAugust 23, 2017
NPI 1750808648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704224916
13599 VIRGIL ST, Detroit, MI 48223

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 Mattie Johnson's NPI number?

The NPI number for Mattie Johnson is 1750808648. It was assigned to this individual provider in the NPPES registry on August 23, 2017.

Where is Mattie Johnson located?

Mattie Johnson practices at 13599 Virgil St, Detroit, MI 48223. The listed phone number is (313) 535-6050.

What is Mattie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mattie Johnson was last updated on August 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.