Healthcare Provider Details

I. General information

NPI: 1750214482
Provider Name (Legal Business Name): ION JARMOND DNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SHOREHAM RD
GROSSE POINTE WOODS MI
48236-2470
US

IV. Provider business mailing address

920 SHOREHAM RD
GROSSE POINTE WOODS MI
48236-2470
US

V. Phone/Fax

Practice location:
  • Phone: 240-529-2969
  • Fax:
Mailing address:
  • Phone: 240-529-2969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704369135
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: