Johnetta Mathis, REGISTERED NURSE
NPI #1619564531 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1619564531
- Entity Type
- Individual
- Name
- Johnetta Mathis, REGISTERED NURSE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- REGISTERED NURSE
- Enumeration Date
- Dec 26, 2020
- Last Updated
- Jul 15, 2025
Practice Location
- Address
- 16743 LINCOLN AVE
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-3029
- Phone
- (313) 477-7366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Licensed Practical Nurse |
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