Individual
JOCELYN J PERDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
111 CLINTON ST, MAUMEE, OH 43537-2811
(734) 464-0887
(734) 402-0254
Mailing address
36115 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-268844
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.07311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213037
ANTHEM
OH
01
—
01973
PARAMOUNT
OH
05
—
114719896
—
MI
05
—
2413070
—
OH
01
—
P00193327
RAILROAD MEDICARE
OH
Enumeration date
12/12/2005
Last updated
07/01/2025
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