Idrissu, Jennifer R

Idrissu, Jennifer R is an individual health care provider with primary practice located at 3455 Starr Rd , Royal Oak MI 48073-2100. 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 / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Idrissu, Jennifer R can be contacted via phone (248) 288-9340.

Contact Information

Primary practice address
3455 Starr Rd Royal Oak MI 48073-2100
Phone: (248) 288-9340
Fax: (248) 965-3029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704245483 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704245483 Michigan

Profile Details

NPI number 1053931873
LBN Legal business name Idrissu, Jennifer R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2020
Last updated Jun 18th, 2024 - about 5 months 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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