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

Mrs. Mattie B. Johnson, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1750808648

Mrs. Mattie B. Johnson, AGPCNP is a Primary Care Nurse Practitioner in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

13599 Virgil St
Detroit, MI 48223-3050
Phone: (313) 535-6050
Fax: (313) 535-6050
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704224916 (MI)

Record details

NPI number1750808648
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESAugust 23, 2017

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