Individual
JACQUELINE K STANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-3477
Mailing address
49466 GALINO CT, MACOMB, MI 48042-4720
(586) 206-8007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704259879
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704259879
MI
Other
Enumeration date
02/10/2022
Last updated
05/12/2026
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