Diane Kendrick-Jeffer in Detroit - Registered Nurse

Diane Kendrick-Jeffer - NPI 1699975565

Diane Kendrick-Jeffer is a Registered Nurse in Detroit, Michigan. Diane Kendrick-Jeffer practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Diane Kendrick-Jeffer is 1699975565. The last update date is 2007-07-19.

Diane Kendrick-Jeffer's current location address is 2051 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 1313961378 and fax number 1313961376. The mailing address for Diane Kendrick-Jeffer is 2051 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Diane Kendrick-Jeffer
Address 2051 W Grand Blvd, Detroit, Michigan
Phone Number 1313961378
Fax Number 1313961376
Sole Proprietor Y
Credentials RN

NPI Number Detail

NPI Number 1699975565
Provider Enumeration Date 2007-07-19
Last Updated Date 2007-07-19

Provider Mailing Address Detail

Address 2051 W Grand Blvd
City Detroit
State Michigan (MI)
Post Code 482081105
Phone Number 1313961378
Fax Number 1313961376

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No 4704120743
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4704120743 MI STATE LICENSE NUMBER

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FAQs about Diane Kendrick-Jeffer

What is the Diane Kendrick-Jeffer's 1699975565?

The Diane Kendrick-Jeffer's NPI (National Provider Identifier) Number is 1699975565. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Diane Kendrick-Jeffer is located?

The Diane Kendrick-Jeffer is situated at the following address: 2051 W Grand Blvd, Detroit, MI, 482081105.

What is Diane Kendrick-Jeffer's specialized field of practice, and what is the corresponding taxonomy classification code?

The Diane Kendrick-Jeffer's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.

On what date did Diane Kendrick-Jeffer receive its 1699975565 assignment from the Centers for Medicare & Medicaid Services?

The Diane Kendrick-Jeffer was assigned its 1699975565 on 2007-07-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Diane Kendrick-Jeffer's details last updated?

The information pertaining to the Diane Kendrick-Jeffer, including its address, specialty, and other details, was most recently updated on 2007-07-19.

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