Individual
MRS. JAMIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
4660 S HAGADORN RD, 405, EAST LANSING, MI 48823-5376
(517) 884-8600
(517) 884-8650
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704309984
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134434624
—
MI
Enumeration date
08/10/2010
Last updated
06/09/2016
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