Individual
MS. JORDAN ELIZABETH JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8078
(313) 916-9867
Mailing address
2799 W GRAND BLVD FL 3, DETROIT, MI 48202-2608
(313) 916-8078
(313) 916-9867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704307208
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704307208
MI
Other
Enumeration date
07/23/2018
Last updated
01/19/2026
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