Individual
FATIME JAAFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6500 SCHAEFER RD, DEARBORN, MI 48126-1813
(313) 584-7900
Mailing address
20424 BROOKWOOD ST, DEARBORN HEIGHTS, MI 48127-2756
(313) 585-0194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704288200
MI
363LA2100X
Acute Care Nurse Practitioner
4704288200
MI
363LF0000X
Family Nurse Practitioner
Primary
4704288200
MI
Other
Enumeration date
04/22/2021
Last updated
10/07/2022
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