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

Fallon Carter-Johnson I

Individual provider Licensed Practical Nurse · NPI 1912387655

Fallon Carter-Johnson I is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

1284 S Ethel St
Detroit, MI 48217-1618
Phone: (313) 595-8635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703114413 (MI)

Record details

NPI number1912387655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2015
Last updated in NPPESJune 8, 2015
Mailing address1284 S Ethel St, Detroit, MI 48217-1618

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