Individual
JILL M HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-5500
Mailing address
2215 FULLER COURT, ANN ARBOR, MI 48105
(734) 769-5500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125446
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
999999999
99999999
—
Enumeration date
02/27/2023
Last updated
02/27/2023
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