Organization
JT HERBERT CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HERBERT NP (NURSE PRACTITIONER)
(734) 391-9968
Entity
Organization
Contact information
Practice address
43494 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302-5052
(734) 391-9968
Mailing address
13826 MARINA DR, VAN BUREN TWP, MI 48111-7001
(734) 391-9968
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/18/2021
Last updated
04/12/2022
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