# JULIANA KISHEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1558019778
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704312075 | MI | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | 4704312075 | MI | — |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 05/29/2026