Individual
JENNA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1213 MASON ST, DEARBORN, MI 48124-2841
(313) 278-2800
Mailing address
429 EMMONS BLVD, WYANDOTTE, MI 48192-2403
(313) 770-3388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310059
MI
Other
Enumeration date
02/24/2021
Last updated
09/27/2022
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