Dr SHANTAE M JOHNSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
BRONSON BATTLE CREEK HOSPITAL
4441 CAPITAL AVE SW
BRONSON UROLOGY SPECIALISTS
BATTLE CREEK
MI
490159359
Tel: 2697886888
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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