Necola Selena Table, FNP-C
Nurse Practitioner, Family in Detroit, MI. Individual provider (NPI-1).
NPI number1659970002
StatusActive
Last updated in NPPESMay 8, 2026
Details
- NPI
- 1659970002
- Entity type
- Individual (NPI-1)
- Name
- Ms. Necola Selena Table
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2020
- Certification date
- May 8, 2026
- Last updated
- May 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704250204 | MI | Yes |
Practice location
4909 E Outer DrDetroit, MI 48234-3446
Phone 313-366-2000 · Fax 313-447-1582
Mailing address
4909 E Outer DrDetroit, MI 48234-3446
Phone 313-366-2000 · Fax 313-447-1582
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