MEDICARE: JEANNE JOSEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4704131873	MI

General Provider Information

NPI Number	:	1063490456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANNE JOSEY NP

Provider Business Mailing Address
First Line	:	3120 PROFESSIONAL DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-5131
Country	:	US
Telephone Number	:	734-677-6000
Fax Number	:	734-677-2422

Provider Business Practice Location Address
First Line	:	3120 PROFESSIONAL DR
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48104-5131
Country	:	US
Telephone Number	:	734-677-6000
Fax Number	:	734-677-2422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	05/02/2017

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Directions to “ JEANNE JOSEY NP” Practice Location

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