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

Individual provider Family Nurse Practitioner · NPI 1639058332

Stefanie Johnson, FNP-C is a Nurse Practitioner in Detroit, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

400 Mack Ave Ste 2
Detroit, MI 48201-2136
Phone: (313) 448-9650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 311 Mack Ave, Detroit, MI 48201-2466 — (313) 832-0202

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704243069 (MI)

Record details

NPI number1639058332
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 28, 2025
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 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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