Provider Demographics
NPI:1811793243
Name:JOHNSON, JULI (ND)
Entity type:Individual
Prefix:
First Name:JULI
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10832 EAGLE COVE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9586
Mailing Address - Country:US
Mailing Address - Phone:248-924-6501
Mailing Address - Fax:
Practice Address - Street 1:10832 EAGLE COVE DR
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-9586
Practice Address - Country:US
Practice Address - Phone:248-924-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education