Fitzgerald, Jamie

Fitzgerald, Jamie is an individual health care provider with primary practice located at 4660 S Hagadorn Rd 405, East Lansing MI 48823-5376. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fitzgerald, Jamie can be contacted via phone (517) 884-8600.

Contact Information

Primary practice address
4660 S Hagadorn Rd 405 East Lansing MI 48823-5376
Phone: (517) 884-8600
Fax: (517) 884-8650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704309984 Michigan

Profile Details

NPI number 1134434624
LBN Legal business name Fitzgerald, Jamie
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2010
Last updated Jun 9th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134434624 NPPES
Michigan MEDICAID 1134434624

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