Individual
JASON LEHAN BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
14288 E OLD US HIGHWAY 12, CHELSEA, MI 48118-2700
(734) 327-6115
(734) 327-1164
Mailing address
24 FRANK LLOYD WRIGHT DR # J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3643631
—
TN
Enumeration date
05/27/2006
Last updated
08/22/2024
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