Individual
MS. JONNIE M HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2301 VAN DYKE ST, DETROIT, MI 48214-3958
(313) 866-9973
(313) 866-5749
Mailing address
18250 MARK TWAIN ST, DETROIT, MI 48235-2546
(313) 866-9973
(313) 866-5749
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704102288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4519204
—
MI
Enumeration date
06/13/2005
Last updated
12/20/2011
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