Individual
MS. JAE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 RIVERFRONT DR APT 1606, DETROIT, MI 48226-4539
(313) 444-3489
(586) 408-6000
Mailing address
100 RIVERFRONT DR APT 1606, DETROIT, MI 48226-4539
(313) 444-3489
(586) 408-6000
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704403446
MI
171M00000X
Case Manager/Care Coordinator
4704403446
MI
202K00000X
Phlebology Physician
4704403446
MI
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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