Individual
MRS. JESSICA ROSE HARNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3497
(313) 417-2967
Mailing address
44838 LAFAYETTE DR, NOVI, MI 48377-2549
(586) 212-3418
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704237233
MI
Other
Enumeration date
10/26/2010
Last updated
11/20/2013
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