Individual
MS. JESSICA ANN MALHOTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
17330 GREYDALE AVE, DETROIT, MI 48219-3248
(855) 445-4554
Mailing address
2532 BEACHVIEW CT, TROY, MI 48098-4203
(586) 381-3070
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
4704217456
MI
363LF0000X
Family Nurse Practitioner
Primary
4704217456NSA230P5
MI
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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