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Individual

JENNIFER ANDRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1900 S TELEGRAPH RD STE 102, BLOOMFIELD TOWNSHIP, MI 48302-0238
(248) 302-0473
(248) 792-0345
Mailing address
1900 S TELEGRAPH RD STE 102, BLOOMFIELD TOWNSHIP, MI 48302-0238
(248) 302-0473
(248) 792-0345

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704189301
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F06151445
AANP CERTIFICATION
Enumeration date
10/10/2015
Last updated
05/22/2023
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