Individual
JASON SEAN SUGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 E MICHIGAN AVE, JACKSON, MI 49201-1847
(517) 205-7605
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704284962
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704284962
MI
Other
Enumeration date
10/27/2015
Last updated
02/07/2024
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