Phillion, Jaclyn Mae

Phillion, Jaclyn Mae is an individual health care provider with primary practice located at 23550 Park St Ste 100 , Dearborn MI 48124-2592. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Phillion, Jaclyn Mae can be contacted via phone (313) 730-0500.

Contact Information

Primary practice address
23550 Park St Ste 100 Dearborn MI 48124-2592
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4704290482 Michigan

Profile Details

NPI number 1578044962
LBN Legal business name Phillion, Jaclyn Mae
Credentials ACAGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2018
Last updated Aug 24th, 2018 - about 8 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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