Individual
DANYIELLE KRISTA JERNUKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
25130 SOUTHFIELD RD, SOUTHFIELD, MI 48075-1910
(248) 234-6799
Mailing address
44307 PRINCETON DR, CLINTON TOWNSHIP, MI 48038-1095
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704317172
MI
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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