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Individual

JENNIFER SALERNO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2800 STONE SCHOOL RD, ANN ARBOR, MI 48104-7434
(734) 971-2665
(734) 975-1636
Mailing address
5575 BRADFORD CIR, BRIGHTON, MI 48114-9066

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704190761
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4710845
MI
01
5008655280
BCBSM PIN
MI
Enumeration date
11/08/2005
Last updated
07/08/2007
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