# JEET VIJAY PATEL

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

## Provider details

- **NPI number:** 1639024714
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 4704383840 | MI | Yes |
| 363L00000X | Nurse Practitioner | 209.035130 | IL | Yes |

## Other

- **Enumeration date:** 03/03/2026
- **Last updated:** 03/27/2026