Individual
SCOTT JENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22745 KELLY RD, EASTPOINTE, MI 48021-2047
(586) 771-1000
(586) 779-0058
Mailing address
22745 KELLY RD, EASTPOINTE, MI 48021-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704378952
MI
Other
Enumeration date
01/28/2026
Last updated
04/12/2026
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