Individual
JENNIFER JO STARRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Mailing address
20952 E 12 MILE RD, SUITE 200, SAINT CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209007280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB9133
RAILROAD MEDICARE
MI
Enumeration date
12/01/2008
Last updated
06/18/2013
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