# ST JOSEPH MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992824452
- **Authorized official:** DEANNA M JOZWIAK (MANAGER PROVIDER ENROLLMENT)
- **Authorized official phone:** (734) 476-6831

## Contact information

- **Practice address:** 5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
- **Practice address phone:** (734) 712-3456
- **Mailing address:** 34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
- **Mailing address phone:** (734) 343-3922

## Taxonomy

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

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 05/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500H111070 | BS BCN NP | MI |