Individual
JILL NADENE NOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
22255 GREENFIELD RD STE 352, SOUTHFIELD, MI 48075-3712
(248) 849-3401
(248) 849-4106
Mailing address
22255 GREENFIELD RD STE 352, SOUTHFIELD, MI 48075-3712
(248) 849-3401
(248) 849-4106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173591
NC
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704333101
NURSE SPECIALTY CERTIFICATION
MI
Enumeration date
04/14/2006
Last updated
07/07/2020
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