Bourgon, Kristen

Bourgon, Kristen is an sole proprietor health care provider with primary practice located at 21650 W 11 Mile Rd Ste 202 , Southfield MI 48076-3777. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bourgon, Kristen can be contacted via phone (248) 327-6196.

Contact Information

Primary practice address
21650 W 11 Mile Rd Ste 202 Southfield MI 48076-3777
Phone: (248) 327-6196
Fax: (248) 327-6356
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704277091 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704277091 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704277091 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704277091 Michigan

Profile Details

NPI number 1851838809
LBN Legal business name Bourgon, Kristen
Credentials MSN, AGPCNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2017
Last updated Mar 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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