Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNETTA MATHIS, REGISTERED NURSE
ActiveJOHNETTA MATHIS, REGISTERED NURSE is a Licensed Practical Nurse healthcare provider located in EASTPOINTE, Michigan. NPI 1619564531 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · EASTPOINTE, MI
Registration Details
- NPI Number
- 1619564531
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2020 (5.595886032888 yrs)
- Last Updated
- Jul 15, 2025
- Licenses
-
4704427375 (MI)4703121100 (MI)
Practice Information
- Address
-
16743 LINCOLN AVEEASTPOINTE, MI, 480213029Browse MI providers · Browse ZIP 48021
- Phone
- 3134777366
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Other Licensed Practical Nurse Providers in EASTPOINTE, MI
| Name | Credential | NPI |
|---|---|---|
| MONIQUE FIKES | — | 1053736421 |
| INEKA BARRON | — | 1548678535 |
| CLAUDIA WATKINS | — | 1063814085 |
| NERISSA ANDERSON | — | 1366835308 |
| APRIL AYERS | — | 1053705327 |
| STEPHANIE NEWBORN | — | 1578938940 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.