Individual
MRS. JEANINE ROSE URSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19725 ALLEN RD, SUITE 101, BROWNSTOWN TWP, MI 48183-1090
(734) 479-2371
Mailing address
19725 ALLEN RD, STE 101, BROWNSTOWN TWP, MI 48183-1090
(313) 971-8931
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704266652
MI
Other
Enumeration date
09/15/2011
Last updated
07/15/2016
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