Individual
MRS. AMY LYNNE HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1201 E MICHIGAN AVE, STE 300, JACKSON, MI 49201-1852
(517) 841-1431
(517) 841-1432
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 841-1431
(517) 841-1432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704176663
MI
363LF0000X
Family Nurse Practitioner
Primary
4704176663
MI
Other
Enumeration date
09/12/2009
Last updated
02/01/2024
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