Individual provider · NPI-1

Jaclyn Elizabeth Efrusy Abbott, NP

Nurse Practitioner, Primary Care · Ann Arbor, MI

NPI number1952800435
StatusActive
Last updated in NPPESJan 31, 2024

Details

NPI
1952800435
Entity type
Individual (NPI-1)
Name
Jaclyn Elizabeth Efrusy Abbott
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2018
Certification date
Jan 31, 2024
Last updated
Jan 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care4704299676MIYes
363L00000X Nurse Practitioner4704299676MI

Other names

  • Jaclyn Elizabeth Efrusy (Former Name)

Practice location

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484

Phone 888-287-1082

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Phone 734-647-5299

Other practice locations

309 Page Ave
Jackson, MI 49201

Phone 517-787-1234

205 N East Ave
Jackson, MI 49201-1753

Phone 517-250-4800

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