# ST. JOHN HOSPITAL AND MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Resources Group Nurse Practitioners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376854661
- **Authorized official:** JENNIFER JOHNSON (DIRECTOR)
- **Authorized official phone:** (248) 680-8206

## Contact information

- **Practice address:** 2800 LIVERNOIS RD, SUITE 500, TROY, MI 48083-1215
- **Practice address phone:** (248) 680-8000
- **Practice address fax:** (248) 680-8031
- **Mailing address:** 2800 LIVERNOIS RD, SUITE 500, TROY, MI 48083-1215
- **Mailing address phone:** (248) 680-8000
- **Mailing address fax:** (248) 680-8031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | MI | Yes |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 01/26/2016