Individual
JENNIFER N FUCILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3800 WOODWARD AVE APT 702, DETROIT, MI 48201-1980
(734) 812-7882
Mailing address
3800 WOODWARD AVE APT 702, DETROIT, MI 48201-1980
(734) 812-7882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704293431
MI
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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