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

Miss. Vickie M Johnson, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1922338086

Miss. Vickie M Johnson, NURSEPRACTITIONER is a Nurse Practitioner in Novi, Michigan. Qualified in 2022, 4 years ago. Practices with Supportive Psych Care of Arkansas PA, a 40-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Tennessee.

Years since qualifying
4
Licensed in
NC, TN
In the registry since
2010
Specialties on file
3

Practice location Address checks out

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone: (847) 275-9504
Show map & directions

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

Additional practice locations (2)

  • 102 Elizabeth St Ste D, Jacksonville, NC 28540-5681 — (910) 791-6767
  • 311 Judges Rd Ste 4e, Wilmington, NC 28405-3655 — (910) 791-6767

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 13530 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 13530 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5022905 (NC)

Record details

NPI number1922338086
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJanuary 12, 2010
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Supportive Psych Care Of Arkansas Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Novi