Individual
JILLIAN M IMAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2799 W GRAND BLVD # B1451, DETROIT, MI 48202-2689
(313) 916-2417
(313) 916-8416
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704319734
MI
Other
Enumeration date
12/08/2023
Last updated
03/17/2025
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