Individual
JILL DOLORES COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
Mailing address
20112 BLACKBURN ST, SAINT CLAIR SHORES, MI 48080-3215
(248) 909-5455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704272869
MI
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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