Buckley, Jeri

Buckley, Jeri is an individual health care provider with primary practice located at 17120 Kercheval Ave , Grosse Pointe MI 48230-1661. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Buckley, Jeri can be contacted via phone (313) 886-3300.

Contact Information

Primary practice address
17120 Kercheval Ave Grosse Pointe MI 48230-1661
Phone: (313) 886-3300
Fax: (313) 417-1071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704243688 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9301335 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9301335 Florida

Profile Details

NPI number 1861875445
LBN Legal business name Buckley, Jeri
Credentials DNP, ARNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Mar 17th, 2018 - about 6 years ago

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 1861875445 NPPES
Florida MEDICAID 015518900
Florida Other Y0S9X

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