Individual
JORDAN MARIE ATTISHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17800 NEWBURGH RD, LIVONIA, MI 48152-2700
(734) 464-9540
Mailing address
27275 HAGGERTY RD STE 500, NOVI, MI 48377-3635
(248) 741-6909
(248) 513-4301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601008850
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315095708
CONTROLLED SUBSTANCE- 2
—
01
—
5601008850
PHYSICIAN ASSISTANT
MI
Enumeration date
09/30/2018
Last updated
03/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us