Individual provider · NPI-1
Jessica Burtt Agius, C.N.M., F.N.P.
Nurse Practitioner, Family · Livonia, MI
NPI number1831255900
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1831255900
- Entity type
- Individual (NPI-1)
- Name
- Jessica Burtt Agius
- Credential
- C.N.M., F.N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 30, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704235384 | MI | Yes |
| 367A00000X | Advanced Practice Midwife | 4704235384 | MI |
Practice location
37595 7 Mile Rd Ste 340Livonia, MI 48152-1003
Phone 734-542-9999
Mailing address
8231 N Silvery LnDearborn Heights, MI 48127-1316
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