Individual
JULIANNE KARI GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
13972 MELVIN ST, LIVONIA, MI 48154-4446
(734) 612-6327
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2017014272
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704272617
MI
Other
Enumeration date
07/14/2017
Last updated
03/04/2024
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