Healthcare Provider Details

I. General information

NPI: 1881932804
Provider Name (Legal Business Name): GEROME EVERETT HESS MSN, NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS MI
48043-2301
US

IV. Provider business mailing address

100 NORTHBOUND GRATIOT AVE
MOUNT CLEMENS MI
48043-2304
US

V. Phone/Fax

Practice location:
  • Phone: 586-783-2950
  • Fax: 586-690-4333
Mailing address:
  • Phone: 586-783-2950
  • Fax: 586-690-4333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704199017
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: