Individual
JACLYN ELIZABETH EFRUSY ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 48105-9484
(888) 287-1082
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704299676
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704299676
MI
Other
Enumeration date
02/09/2018
Last updated
01/31/2024
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