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NPI Code Detail

MEDICARE: NICOLE JOHNSTONE RN

MEDICARE: NICOLE JOHNSTONE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator4704270545MI

General Provider Information

NPI Number : 1275499717
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE JOHNSTONE RN
Provider Business Mailing Address
First Line : 555 TOWNER ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5723
Country : US
Telephone Number : 734-544-3035
Fax Number : 734-544-6732
Provider Business Practice Location Address
First Line : 555 TOWNER ST
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-5723
Country : US
Telephone Number : 734-544-3035
Fax Number : 734-544-6732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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