Ali, Jemila Adem

Ali, Jemila Adem is an sole proprietor health care provider with primary practice located at 1055 Medical Park Dr Se , Grand Rapids MI 49546-3607. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ali, Jemila Adem can be contacted via phone (616) 942-9610.

Contact Information

Primary practice address
1055 Medical Park Dr Se Grand Rapids MI 49546-3607
Phone: (616) 942-9610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 470474701 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704274701 Michigan

Profile Details

NPI number 1417626771
LBN Legal business name Ali, Jemila Adem
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2021
Last updated Nov 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417626771 NPPES
Michigan Other 0D12824 BCBS

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