Individual
JESSICA ANN ONUFRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3350 GRATIOT BLVD, MARYSVILLE, MI 48040-2121
(810) 364-4000
(810) 364-5995
Mailing address
3350 GRATIOT BLVD, MARYSVILLE, MI 48040-2121
(810) 364-4000
(810) 364-5995
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704266390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326474248
—
MI
Enumeration date
09/24/2013
Last updated
01/29/2015
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