Individual
JASMINE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18161 W 13 MILE RD STE C2, SOUTHFIELD, MI 48076-1113
(248) 731-7417
Mailing address
660 WOODWARD AVE FL 24, DETROIT, MI 48226-3516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704336007
MI
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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