Individual
JESSICA FRANCES KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 KIRTS BLVD STE C, TROY, MI 48084-5286
(248) 817-4140
Mailing address
200 KIRTS BLVD STE C, TROY, MI 48084-5286
(248) 817-4140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704317013NSA210L4
MI
Other
Enumeration date
09/12/2021
Last updated
07/09/2024
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