Individual
MRS. JAMIE NICOLE TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4811
Mailing address
37000 GRAND RIVER AVE STE 120, FARMINGTON HILLS, MI 48335-2868
(248) 536-2127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008837
MI
Other
Enumeration date
09/24/2018
Last updated
09/04/2020
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