Individual
MRS. JENNIFER RENEE SCANIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(313) 574-5729
Mailing address
6201 BEACHWOOD CT, WEST BLOOMFIELD, MI 48324-1391
(586) 764-6856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704222319
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704222319
MI
Other
Enumeration date
09/24/2012
Last updated
02/25/2021
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