Individual
JESSICA LIGHTBODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
40777 ANN ARBOR RD E, PLYMOUTH, MI 48170-4448
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 853-6568
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704272398
MI
Other
Enumeration date
02/04/2014
Last updated
03/10/2025
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