Individual
MRS. JENNIFER LUCILLE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42557 WOODWARD AVE, STE 200, BLOOMFIELD HILLS, MI 48304-5206
(248) 333-1170
(248) 333-1175
Mailing address
42557 WOODWARD AVE, STE 130, BLOOMFIELD HILLS, MI 48304-5206
(248) 322-3088
(248) 322-4175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704254436
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704254436
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295023547
GROUP NPI TYPE II (MICHIGAN HEALTHCARE PROFESSIONALS, PC
MI
01
—
MI4989
GROUP MEDICARE PIN
MI
Enumeration date
12/08/2010
Last updated
06/02/2016
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