Healthcare Provider Details

I. General information

NPI: 1649098864
Provider Name (Legal Business Name): JENNIFER ESKILDSEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14801 FARMINGTON RD
LIVONIA MI
48154-5429
US

IV. Provider business mailing address

15644 NORTHVILLE FOREST DR
PLYMOUTH MI
48170-4902
US

V. Phone/Fax

Practice location:
  • Phone: 734-542-8100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704299364
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: