Individual
CHERON BIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2300
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704257857
MI
363LF0000X
Family Nurse Practitioner
Primary
4704257857
MI
Other
Enumeration date
10/10/2018
Last updated
03/25/2026
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