Individual
JODEE M. THORNLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(734) 324-3463
(734) 246-7266
Mailing address
9377 ALLEN RD, ALLEN PARK, MI 48101-1437
(313) 381-5477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704173465
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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