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

Hattie Johnson

Individual provider Student Health Clinic/Center · NPI 1790577179

Hattie Johnson is a Student Health Clinic/Center in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

17250 W 12 Mile Rd Ste 211A
Southfield, MI 48076-2123
Phone: (248) 508-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student Health Clinic/Center (primary) Taxonomy 261QS1000X

Record details

NPI number1790577179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 21, 2025
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025