Dudeesh, Jisha

Dudeesh, Jisha is an individual health care provider with primary practice located at 22151 Moross Rd Professional Building One, Detroit MI 48236-2167. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Dudeesh, Jisha can be contacted via phone (313) 343-7107.

Contact Information

Primary practice address
22151 Moross Rd Professional Building One Detroit MI 48236-2167
Phone: (313) 343-7107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704256647 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704256647 Michigan

Profile Details

NPI number 1902356272
LBN Legal business name Dudeesh, Jisha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Nov 13th, 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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