Healthcare Provider Details

I. General information

NPI: 1386572568
Provider Name (Legal Business Name): JENNIFER SUE SCHLICHT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 ATABERRY DR
CLIO MI
48420-1905
US

IV. Provider business mailing address

10330 ATABERRY DR
CLIO MI
48420-1905
US

V. Phone/Fax

Practice location:
  • Phone: 810-836-3877
  • Fax:
Mailing address:
  • Phone: 810-836-3877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number4704349091
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: