Individual
MRS. JACQUELINE ANN DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6752 ROLLING MEADOW DR, DAVISBURG, MI 48350-2952
(248) 328-0902
Mailing address
6752 ROLLING MEADOW DR, DAVISBURG, MI 48350-2952
(248) 328-0902
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704101243
MI
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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