Individual
JESSICA RUTH SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
501 N CASS LAKE RD, WATERFORD, MI 48328-2307
(248) 724-7600
(248) 724-6800
Mailing address
PO BOX 430150, PONTIAC, MI 48343-0150
(248) 724-7600
(248) 724-6800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704334306
MI
Other
Enumeration date
07/25/2022
Last updated
01/27/2026
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