Individual
MS. JACQUELINE M. GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3535 W 13 MILE RD STE 644, ROYAL OAK, MI 48073-6770
(248) 551-1033
(248) 551-0043
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(475) 220-3079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260574
MI
Other
Enumeration date
09/16/2014
Last updated
07/22/2022
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