person
Jennifer Platkus, NURSEPRACTITIONER
Family Nurse Practitioner in Southfield, Michigan
NPI 1124013859

Jennifer Platkus is a Family Nurse Practitioner based in Southfield, MI and is specialized in Family. Jennifer Platkus practices in Southfield, MI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jennifer Platkus is 1124013859 and holds a License No. 4704195094 (Michigan).

The current practice location address for Jennifer Platkus is 22250 Providence Dr, Southfield, MI and can be reached out via phone at 248-557-9010 and via fax at 248-557-3655.

Location: 22250 Providence Dr, Southfield, MI, 48075-4825
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Provider Profile Details
NPI Number
1124013859
Provider Name
Jennifer Platkus
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
22250 Providence Dr, Southfield, MI, 48075-4825
Phone Number
248-557-9010
Fax Number
248-557-3655
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4579525 05 MI
5008602800 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr
City
State
Zip
48075-4825
Phone Number
248-557-9010
Fax Number
248-557-3655
person
Provider Business Mailing Address Details
Address
22250 Providence Dr
City
State
Zip
48075-4825
Phone Number
248-557-9010
Fax Number
248-557-3655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704195094 (Michigan)
Definition
Definition to come...
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