Jennifer Margaret Annetta, NP-C
Nurse Practitioner, Women's Health in Royal Oak, MI. Individual provider (NPI-1).
NPI number1831476480
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1831476480
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Margaret Annetta
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2011
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | 4704212648 | MI | Yes |
Practice location
1103 N Main St Ste EEsprit Women'S Health
Royal Oak, MI 48067-1363
Phone 248-399-7675
Mailing address
1103 N Main St Ste EEsprit Women'S Health
Royal Oak, MI 48067-1363
Phone 248-399-7675
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