Jesseca Anthony, Nurse
Licensed Practical Nurse in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1982133765
StatusActive
Last updated in NPPESJun 6, 2017
Details
- NPI
- 1982133765
- Entity type
- Individual (NPI-1)
- Name
- Jesseca Anthony
- Credential
- Nurse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2017
- Last updated
- Jun 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703112763 | MI | Yes |
Practice location
2688 Peachcrest StYpsilanti, MI 48198-3323
Phone 734-329-1859
Mailing address
1342 Stacy DrCanton, MI 48188-1439
Phone 734-329-1859
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All 34 Licensed Practical Nurse providers in Ypsilanti · All 4,454 providers in Ypsilanti
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