Destefano, Jennifer

Destefano, Jennifer is an individual health care provider with primary practice located at 468 Cadieux Rd , Grosse Pointe MI 48230-1507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Destefano, Jennifer can be contacted via phone (313) 473-1000.

Contact Information

Primary practice address
468 Cadieux Rd Grosse Pointe MI 48230-1507
Phone: (313) 473-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704282745 Michigan

Profile Details

NPI number 1720535552
LBN Legal business name Destefano, Jennifer
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2016
Last updated Nov 16th, 2020 - about 6 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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