Kournoian, Jaclyn Suzette

Kournoian, Jaclyn Suzette is an individual health care provider with primary practice located at 1000 Harrington St , Mount Clemens MI 48043-2920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kournoian, Jaclyn Suzette can be contacted via phone (586) 690-9062.

Contact Information

Primary practice address
1000 Harrington St Mount Clemens MI 48043-2920
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704234791 Michigan

Profile Details

NPI number 1386970739
LBN Legal business name Kournoian, Jaclyn Suzette
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated Mar 4th, 2014 - about 10 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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