Individual
DR. JENNIFER A ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301071873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3501600212
INDIVIDUAL BLUE CROSS
MI
05
—
4369420
—
MI
01
—
700A610040
GROUP BLUE CROSS
MI
01
—
OF96004
MEDICARE GROUP
MI
Enumeration date
07/15/2006
Last updated
12/14/2015
Update your record
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