Individual
MRS. JENIFER DIONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
25115 BALSAM DR, BROWNSTOWN, MI 48134-1183
(734) 344-1336
Mailing address
25115 BALSAM DR, BROWNSTOWN, MI 48134-1183
(734) 344-1336
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704246262
MI
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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