Healthcare Provider Details

I. General information

NPI: 1487571030
Provider Name (Legal Business Name): JUNIPER NORTH HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 JEWETT ST
ANN ARBOR MI
48104-6208
US

IV. Provider business mailing address

1516 JEWETT ST
ANN ARBOR MI
48104-6208
US

V. Phone/Fax

Practice location:
  • Phone: 207-577-1952
  • Fax:
Mailing address:
  • Phone: 207-577-1952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: NASER ALIJABBARI
Title or Position: AUTHORIZED OFFICIAL
Credential: PA-C
Phone: 207-577-1952