Individual
JEANNE JENNAE PRIDEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
980 SEABURY DR, LAKE ORION, MI 48362-1944
(248) 330-1212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704325133
MI
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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