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Individual

JENNIFER ANN SOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1599
(888) 731-8994
Mailing address
2567 BELL CIR, STEVENSVILLE, MI 49127-8700
(269) 876-1684
(269) 327-2063

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4704191329
MI

Other

Enumeration date
11/01/2017
Last updated
05/04/2025
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