Individual
MRS. JAMIE WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(800) 653-6568
(313) 916-4460
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704314082
MI
Other
Enumeration date
07/01/2021
Last updated
09/08/2025
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