Grevenstuk, Jessica Starr

Grevenstuk, Jessica Starr is an individual health care provider with primary practice located at 3200 Greenfield Rd Ste 300 , Dearborn MI 48120-1805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Grevenstuk, Jessica Starr can be contacted via phone (574) 546-1900.

Contact Information

Primary practice address
3200 Greenfield Rd Ste 300 Dearborn MI 48120-1805
Fax: (574) 546-1999
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704257219 Michigan

Profile Details

NPI number 1588098685
LBN Legal business name Grevenstuk, Jessica Starr
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2013
Last updated Mar 12th, 2025 - about last year

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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