Riley, Jaclyn

Riley, Jaclyn is an individual health care provider with primary practice located at 2050 N Haggerty Rd Ste 200 , Canton MI 48187-3796. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Riley, Jaclyn can be contacted via phone (313) 550-3353.

Contact Information

Primary practice address
2050 N Haggerty Rd Ste 200 Canton MI 48187-3796
Phone: (313) 550-3353
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704347010 Michigan

Profile Details

NPI number 1063000545
LBN Legal business name Riley, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2021
Last updated Sep 29th, 2023 - about 2 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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