Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HATTIE JOHNSON
Active Sole ProprietorHATTIE JOHNSON is a Student Health Clinic healthcare provider located in SOUTHFIELD, Michigan. NPI 1790577179 is currently active in the NPPES registry. Verify at CMS.
Student Health Clinic · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1790577179
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2025 (1.264979768119 yrs)
- Last Updated
- May 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
17250 W 12 MILE RD STE 211ASOUTHFIELD, MI, 480762123Browse MI providers · Browse ZIP 48076
- Phone
- 2485082858
- Primary Specialty
-
Student Health Clinic
261QS1000X
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.