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Jessica Knoodle

Registered Nurse in Farmington Hills, MI. Individual provider (NPI-1).

NPI number1104747005
StatusActive
Last updated in NPPESJul 24, 2026

Details

NPI
1104747005
Entity type
Individual (NPI-1)
Name
Jessica Knoodle
Sex
Female
Sole proprietor
No
Enumeration date
Jul 24, 2026
Certification date
Jul 24, 2026
Last updated
Jul 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse4704283452MIYes

Practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Phone 833-476-5837

Mailing address

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Phone 833-476-5837

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