Individual
KASEY TERESE JODWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
19093 PARKWOOD LN, BROWNSTOWN TWP, MI 48183-6805
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704359871
MI
363LG0600X
Gerontology Nurse Practitioner
4704359871
MI
Other
Enumeration date
11/13/2024
Last updated
10/27/2025
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