Individual
JENNIFER ROSE HANKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22467 PADDINGTON CT, NOVI, MI 48374-3860
(734) 771-3142
(734) 379-7513
Mailing address
22467 PADDINGTON CT, NOVI, MI 48374-3860
(734) 771-3142
(734) 379-7513
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704259810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704259810
STATE LICENSE
MI
Enumeration date
03/30/2010
Last updated
03/30/2010
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