Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Edwards-Johnson, DO

Individual provider Family Medicine Physician · NPI 1083972434

Dr. Jennifer Edwards-Johnson, DO is a Family Practice in Lansing, Michigan. Qualified in 2012, 14 years ago. Practices with McLaren Flint, a 144-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 E Michigan Ave Ste 245A
Lansing, MI 48912-1852
Phone: (517) 364-5710
Fax: (517) 264-5717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22250 Providence Dr, Southfield, MI 48075-4825 — (248) 849-3441

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101019898 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083972434
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESMarch 17, 2018
Mailing address13820 Courtland St, Oak Park, MI 48237-2723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice McLaren Flint — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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