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

Johnetta Mathis, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1619564531

Johnetta Mathis, REGISTEREDNURSE is a Registered Nurse in Eastpointe, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

16743 Lincoln Ave
Eastpointe, MI 48021-3029
Phone: (313) 477-7366
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703121100 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704427375 (MI)

Record details

NPI number1619564531
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedDecember 26, 2020
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address16743 Lincoln Ave, Eastpointe, MI 48021-3029

Other providers in Eastpointe