Individual
JENNIFER HAYDEN MERRITT-HACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
1261 FURNACE BROOK PKWY, STE 31, QUINCY, MA 02169-4787
(857) 403-1181
(617) 472-6947
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704131145
MI
363LC1500X
Community Health Nurse Practitioner
4704131145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4270523
—
MI
Enumeration date
12/11/2006
Last updated
01/18/2018
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