Individual
MRS. PATRICIA M JURCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Mailing address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704168095
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704168095
STATE LICENSE
MI
Enumeration date
06/03/2006
Last updated
12/22/2021
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