Individual
JAIME RANAY EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(248) 859-3900
(888) 483-0118
Mailing address
705 MARY CT, FENTON, MI 48430-1416
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704349183
MI
Other
Enumeration date
05/27/2022
Last updated
10/27/2022
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