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Jessica Dikhow, FNP-BC

Nurse Practitioner, Family in Novi, MI. Individual provider (NPI-1).

NPI number1033713755
StatusActive
Last updated in NPPESApr 20, 2022

Details

NPI
1033713755
Entity type
Individual (NPI-1)
Name
Jessica Dikhow
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 23, 2020
Certification date
Apr 20, 2022
Last updated
Apr 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704323933MIYes

Practice location

26090 Lannys Road
Novi, MI 48375

Phone 248-200-9420

Mailing address

6596 Minnow Pond Dr
West Bloomfield, MI 48322-2659

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