Provider Demographics
NPI:1811883457
Name:TURNER JOHNSON, DAVID ANTHONY
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ANTHONY
Last Name:TURNER JOHNSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2361 PRINCE HALL DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48207-3351
Mailing Address - Country:US
Mailing Address - Phone:313-575-7477
Mailing Address - Fax:
Practice Address - Street 1:1915 W FORT ST APT 215
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48216-1760
Practice Address - Country:US
Practice Address - Phone:313-575-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care