Healthcare Provider Details

I. General information

NPI: 1033555479
Provider Name (Legal Business Name): BRITTANY PAULSEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY ANNE JACKSON MD

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR
ANN ARBOR MI
48109-5000
US

IV. Provider business mailing address

26901 BEAUMONT BLVD STE 3D
SOUTHFIELD MI
48033-3849
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-5589
  • Fax: 734-763-4208
Mailing address:
  • Phone: 248-577-9221
  • Fax: 248-577-0307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301102694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: