Sam, Jennifer

Sam, Jennifer is an sole proprietor health care provider with primary practice located at 13045 Michael Dr , Shelby Township MI 48315-4744. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sam, Jennifer can be contacted via phone (248) 225-1959.

Contact Information

Primary practice address
13045 Michael Dr Shelby Township MI 48315-4744
Phone: (248) 225-1959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704248128 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704248128 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704248128 Michigan

Profile Details

NPI number 1336405059
LBN Legal business name Sam, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2012
Last updated May 9th, 2024 - about 7 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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