Individual
MRS. JESSICA ANN SIMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1605
(313) 473-1934
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704247668
MI
363L00000X
Nurse Practitioner
4704247668
MI
363LA2100X
Acute Care Nurse Practitioner
2017016632
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704247668
MI
Other
Enumeration date
10/13/2017
Last updated
04/12/2023
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