SHANTAE M JOHNSON

BRONSON BATTLE CREEK HOSPITAL

Dr SHANTAE M JOHNSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.

Contact

BRONSON BATTLE CREEK HOSPITAL

4441 CAPITAL AVE SW
BRONSON UROLOGY SPECIALISTS
BATTLE CREEK
MI
490159359

Tel: 2697886888

SHANTAE M JOHNSON Information

Npi 1750872487
Pac Id 8426307430
Professional Enrollment Id I20180824001455
Last Name JOHNSON
First Name SHANTAE
Middle Name M
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BRONSON BATTLE CREEK HOSPITAL
Group Practice Pac Id 0547173478
Number Of Group Practice Members 131
Line 1 Street Address 4441 CAPITAL AVE SW
Line 2 Street Address BRONSON UROLOGY SPECIALISTS
Marker Of Address Line 2 Suppression
City BATTLE CREEK
State MI
Zip Code 490159359
Phone Number 2697886888
Hospital Affiliation Ccn 1 230075
Hospital Affiliation Lbn 1 BRONSON BATTLE CREEK HOSPITAL
Hospital Affiliation Ccn 2 230017
Hospital Affiliation Lbn 2 BRONSON METHODIST HOSPITAL
Hospital Affiliation Ccn 3 230217
Hospital Affiliation Lbn 3 OAKLAWN HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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