Individual
JESSICA ANNE WAHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
22250 PROVIDENCE DR STE 406, SOUTHFIELD, MI 48075-6212
(248) 557-9010
Mailing address
20058 BANNISTER DR, MACOMB, MI 48044-5942
(586) 265-9964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704334199
MI
Other
Enumeration date
07/05/2023
Last updated
07/11/2023
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