Johnson, Tiffany Shandrea

Johnson, Tiffany Shandrea is an individual health care provider with primary practice located at 3000 Gratiot Ave , Detroit MI 48207-2372. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Tiffany Shandrea can be contacted via phone (313) 331-3435.

Contact Information

Primary practice address
3000 Gratiot Ave Detroit MI 48207-2372
Phone: (313) 331-3435
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704282282 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704282282 Michigan

Profile Details

NPI number 1730572660
LBN Legal business name Johnson, Tiffany Shandrea
Credentials FNP-C, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2015
Last updated Aug 11th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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