Healthcare Provider Details

I. General information

NPI: 1093602369
Provider Name (Legal Business Name): MY BREASTFEEDING JOURNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 MERCURY DR
DEARBORN MI
48126-2947
US

IV. Provider business mailing address

20655 WILLIAMSBURG RD
DEARBORN HEIGHTS MI
48127-2757
US

V. Phone/Fax

Practice location:
  • Phone: 313-608-6667
  • Fax: 313-566-4948
Mailing address:
  • Phone: 313-608-6667
  • Fax: 313-566-4948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE KHANJI
Title or Position: NEONATAL NURSE PRACTITIONER
Credential: NNP-BC
Phone: 313-608-6667