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Jennifer Lynne Dietzel, NP

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

NPI number1376973073
StatusActive
Last updated in NPPESOct 3, 2022

Details

NPI
1376973073
Entity type
Individual (NPI-1)
Name
Jennifer Lynne Dietzel
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 15, 2013
Certification date
Oct 3, 2022
Last updated
Oct 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner4704261791MIYes

Practice location

3023 Davenport Ave
Saginaw, MI 48602-3652

Phone 989-907-2761 · Fax 989-907-2762

Mailing address

3023 Davenport Ave
Saginaw, MI 48602-3652

Fax 989-399-8233

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