Individual
JENNIFER N NESBITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4085
(313) 253-2000
Mailing address
9736 BLANSFIELD WAY, ELK GROVE, CA 95757-4022
(916) 687-3436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704232602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4409131
—
MI
05
—
4838556
—
MI
Enumeration date
05/17/2006
Last updated
01/04/2022
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