Individual
JENNIFER LYNN ZIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
42 N SAINT JOSEPH AVE, SUITE 201, NILES, MI 49120-2203
(269) 687-0808
(269) 687-0811
Mailing address
42 N SAINT JOSEPH AVE, SUITE 201, NILES, MI 49120-2203
(269) 687-0808
(269) 687-0811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704258909
MI
363LW0102X
Women's Health Nurse Practitioner
129854
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780675140
—
MI
Enumeration date
11/03/2005
Last updated
07/16/2014
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