Individual
JESSICA LYNNE SPRUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDREN'S HOSP, ANN ARBOR, MI 48109-4257
(734) 936-9814
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704256725
MI
363LP0200X
Pediatric Nurse Practitioner
4704256725
MI
Other
Enumeration date
02/17/2009
Last updated
01/11/2019
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