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Jessica Lynn Kata, CPNP-AC
Pediatric Nurse Practitioner in Grosse Pointe Woods, Michigan
NPI 1255895355

Jessica Lynn Kata is a Pediatric Nurse Practitioner based in Madison Heights, MI and is specialized in Pediatrics. Jessica Lynn Kata practices in Grosse Pointe Woods, MI and has the professional credentials of CPNP-AC. The NPI Number for Jessica Lynn Kata is 1255895355 and holds a License No. 4704256354 (Michigan).

The current practice location address for Jessica Lynn Kata is 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI and can be reached out via phone at 313-647-3200.

Location: 19229 Mack Ave Ste 28, Grosse Pointe Woods, MI, 48071-2822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255895355
Provider Name
Jessica Lynn Kata
Credential
CPNP-AC
Provider Entity Type
Individual
Gender
Female
Address
19229 Mack Ave Ste 28, Grosse Pointe Woods, MI, 48071-2822
Phone Number
313-647-3200
Fax Number
Provider Enumeration Date
01/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19229 Mack Ave Ste 28
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2857
Phone Number
313-647-3200
Fax Number
person
Provider Business Mailing Address Details
Address
19229 Mack Ave Ste 28
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2857
Phone Number
313-647-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704256354 (Michigan)
Definition
Definition to come...
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