person
Jessica Lynn Lane, CPNP-PC
Pediatric Nurse Practitioner in Saint Clair Shores, Michigan
NPI 1922767284

Jessica Lynn Lane is a Pediatric Nurse Practitioner based in Saint Clair Shores, MI and is specialized in Pediatrics. Jessica Lynn Lane practices in Saint Clair Shores, MI and has the professional credentials of CPNP-PC. The NPI Number for Jessica Lynn Lane is 1922767284 and holds a License No. 4704342324 (Michigan).

The current practice location address for Jessica Lynn Lane is 20225 E 9 Mile Rd, Saint Clair Shores, MI and can be reached out via phone at 313-600-5349.

Location: 20225 E 9 Mile Rd, Saint Clair Shores, MI, 48080-1700
person
Provider Profile Details
NPI Number
1922767284
Provider Name
Jessica Lynn Lane
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
20225 E 9 Mile Rd, Saint Clair Shores, MI, 48080-1700
Phone Number
313-600-5349
Fax Number
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20225 E 9 Mile Rd
City
State
Zip
48080-1700
Phone Number
313-600-5349
Fax Number
person
Provider Business Mailing Address Details
Address
20225 E 9 Mile Rd
City
State
Zip
48080-1700
Phone Number
313-600-5349
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
License No.
4704342324 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4704342324 (Michigan)
Definition
Definition to come...
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