MEDICARE: JAHNVI PATEL NP-C

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	363LF0000X	Family Nurse Practitioner	4704298340	MI

General Provider Information

NPI Number	:	1114502960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAHNVI PATEL NP-C

Provider Business Mailing Address
First Line	:	835 MONTEREY LN
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4939
Country	:	US
Telephone Number	:	248-835-4628
Fax Number	:

Provider Business Practice Location Address
First Line	:	835 MONTEREY LN
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-4939
Country	:	US
Telephone Number	:	248-835-4628
Fax Number	:

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

Provider Enumeration Date	:	03/12/2021
Last Update Date	:	03/12/2021

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