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Individual

JESSICA TAHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
31182 NOVI RD, NOVI, MI 48377-4545
(248) 927-1757
Mailing address
31182 NOVI RD, NOVI, MI 48377-4545

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1113649
WI
163W00000X
Registered Nurse
4704377852
MI
363L00000X
Nurse Practitioner
Primary
4704377852
MI
363LA2100X
Acute Care Nurse Practitioner
15698
WI

Other

Enumeration date
07/15/2024
Last updated
12/15/2025
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