Individual
JESSICA CAROL BOYLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2030 PACKARD ST, ANN ARBOR, MI 48104-4785
(586) 216-9253
Mailing address
11480 E 13 MILE RD, WARREN, MI 48093-2566
(586) 216-9253
(586) 232-9127
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704289390
MI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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