Individual
JENNIFER MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,FNP-C,PMHNP-BC
Contact information
Practice address
105 PEARL ST, YPSILANTI, MI 48197-2611
(734) 275-3955
Mailing address
29601 TRANCREST ST, LIVONIA, MI 48152-4533
(248) 231-7079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704247043
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704247043
MI
Other
Enumeration date
09/05/2018
Last updated
01/01/2025
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