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Jomy Jose, NP
Gerontology Nurse Practitioner in Roseville, Michigan
NPI 1558911842

Jomy Jose is a Gerontology Nurse Practitioner based in Roseville, MI and is specialized in Gerontology. Jomy Jose practices in Roseville, MI and has the professional credentials of NP. The NPI Number for Jomy Jose is 1558911842 and holds a License No. 4704296097 (Michigan).

The current practice location address for Jomy Jose is 25719 Salem St, Roseville, MI and can be reached out via phone at 586-350-1466.

Location: 25719 Salem St, Roseville, MI, 48066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558911842
Provider Name
Jomy Jose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
25719 Salem St, Roseville, MI, 48066
Phone Number
586-350-1466
Fax Number
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25719 Salem St
City
Roseville
State
Michigan
Zip
48066
Phone Number
586-350-1466
Fax Number
person
Provider Business Mailing Address Details
Address
25719 Salem St
City
Roseville
State
Michigan
Zip
48066
Phone Number
586-350-1466
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
4704296097 (Michigan)
Definition
Definition to come...
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