Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derra Johnson

Individual provider Case Manager/Care Coordinator · NPI 1871397927

Derra Johnson is a Case Manager/Care Coordinator in Waterford, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

279 Summit Dr
Waterford, MI 48328-3364
Phone: (248) 745-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1871397927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2025
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address279 Summit Dr, Waterford, MI 48328-3364

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