Individual
JANE ASHLEY ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18302 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 478-1500
Mailing address
18302 MIDDLEBELT RD, LIVONIA, MI 48152-5007
(248) 478-1500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704294189
MI
363LF0000X
Family Nurse Practitioner
Primary
4704294189
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14197691
CAQH
—
05
—
1457886350
—
MI
Enumeration date
04/28/2017
Last updated
09/09/2022
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