person
Jordan Marie Attisha, PA-C
Medical Physician Assistant in Livonia, Michigan
NPI 1578048138

Jordan Marie Attisha is a Medical Physician Assistant based in Novi, MI and is specialized in Medical. Jordan Marie Attisha practices in Livonia, MI and has the professional credentials of PA-C. The NPI Number for Jordan Marie Attisha is 1578048138 and holds a License No. 5601008850 (Michigan).

The current practice location address for Jordan Marie Attisha is 17800 Newburgh Rd, Livonia, MI and can be reached out via phone at 734-464-9540.

Location: 17800 Newburgh Rd, Livonia, MI, 48377-3635
person
Provider Profile Details
NPI Number
1578048138
Provider Name
Jordan Marie Attisha
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
17800 Newburgh Rd, Livonia, MI, 48377-3635
Phone Number
734-464-9540
Fax Number
Provider Enumeration Date
09/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601008850 01 MI PHYSICIAN ASSISTANT
5315095708 01 CONTROLLED SUBSTANCE- 2
institution
Provider Business Practice Location Address Details
Address
17800 Newburgh Rd
City
State
Zip
48152-2700
Phone Number
734-464-9540
Fax Number
person
Provider Business Mailing Address Details
Address
17800 Newburgh Rd
City
State
Zip
48152-2700
Phone Number
734-464-9540
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601008850 (Michigan)
Definition
Definition to come...
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