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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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