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Individual

MRS. JAQUETTA MARIE REEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
7425 WILLIS ROAD, ROOM P114, YPSILANTI, MI 48197
(734) 714-9600
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704238769
MI
363LF0000X
Family Nurse Practitioner
F0211152
MI

Other

Enumeration date
03/10/2011
Last updated
01/15/2016
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