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Jaclyn Riley
Nurse Practitioner in Canton, Michigan
NPI 1063000545

Jaclyn Riley is a Nurse Practitioner based in Grosse Pointe Park, MI. Jaclyn Riley practices in Canton, MI. The NPI Number for Jaclyn Riley is 1063000545 and holds a License No. 4704347010 (Michigan).

The current practice location address for Jaclyn Riley is 2050 N Haggerty Rd Ste 200, Canton, MI and can be reached out via phone at 313-550-3353. You can also correspond with Jaclyn Riley through the mailing address at 1083 BEACONSFIELD AVE, GROSSE POINTE PARK, MI - 48230-1346 (mailing address contact number: 313-550-3353).

Location: 2050 N Haggerty Rd Ste 200, Canton, MI, 48230-1346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063000545
Provider Name
Jaclyn Riley
Credential
Provider Entity Type
Individual
Gender
Female
Address
2050 N Haggerty Rd Ste 200, Canton, MI, 48230-1346
Phone Number
313-550-3353
Fax Number
Provider Enumeration Date
01/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2050 N Haggerty Rd Ste 200
City
Canton
State
Michigan
Zip
48187-3796
Phone Number
313-550-3353
Fax Number
person
Provider Business Mailing Address Details
Address
2050 N Haggerty Rd Ste 200
City
Canton
State
Michigan
Zip
48187-3796
Phone Number
313-550-3353
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704347010 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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