Individual
JACQUELYN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2650 CARPENTER RD, ANN ARBOR, MI 48108-1108
(734) 971-1073
(614) 635-1290
Mailing address
777 STONEY DR, SOUTH LYON, MI 48178-2022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4704328292
MI
363LF0000X
Family Nurse Practitioner
Primary
4704328292
MI
Other
Enumeration date
10/17/2024
Last updated
02/13/2026
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