Kirouac, Jacqueline

Kirouac, Jacqueline is an individual health care provider with primary practice located at 16001 W 9 Mile Rd , Southfield MI 48075-4818. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Kirouac, Jacqueline can be contacted via phone (248) 849-3000.

Contact Information

Primary practice address
16001 W 9 Mile Rd Southfield MI 48075-4818
Phone: (248) 849-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 4704341154 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AG11210087 Michigan

Profile Details

NPI number 1689438574
LBN Legal business name Kirouac, Jacqueline
Credentials MSN, AGNP-C, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2024
Last updated Feb 12th, 2024 - about 9 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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