Gyomory, Jackie R

Gyomory, Jackie R is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Gyomory, Jackie R can be contacted via phone (248) 898-5000.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Phone: (248) 898-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN586505 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209.010429 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704259474 Michigan

Profile Details

NPI number 1699075044
LBN Legal business name Gyomory, Jackie R
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2010
Last updated Jul 29th, 2022 - about 3 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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