FALLON CARTER-JOHNSON I
NPI 1912387655
Licensed Practical Nurse in Detroit, MI

Active since June 08, 2015
1284 S ETHEL ST, DETROIT, MI 48217(313) 595-8635 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fallon Carter-johnson I NPPES

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

FALLON CARTER-JOHNSON I (NPI 1912387655) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703114413) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1912387655
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameFALLON CARTER-JOHNSON I
Location Address1284 S ETHEL STDetroit, MI 48217-1618
Mailing Address1284 S Ethel StDetroit, MI 48217-1618
Sole ProprietorNo
Enumeration DateJune 8, 2015
NPI 1912387655 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 · 4703114413
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.

1284 S ETHEL ST, Detroit, MI 48217

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912387655, enumerated as an "individual" on June 08, 2015.

The provider is located at 1284 S ETHEL ST DETROIT, MI 48217 and the phone number is (313) 595-8635.

Licensed Practical Nurse with taxonomy code 164W00000X.