MEDICARE: JENNIFER LYNN HELMAN MSN, CPNP

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	4704295872	MI
2	363LP0200X	Pediatric Nurse Practitioner	71002267A	IN
3	363LP0222X	Critical Care Pediatric Nurse Practitioner	71002267A	IN

General Provider Information

NPI Number	:	1194985143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN HELMAN MSN, CPNP

Provider Business Mailing Address
First Line	:	3621 SOUTH STATE STREET
Second Line	:	700 KMS PLACE
City	:	ANN ARBOR
State	:	MI
Zip	:	48108
Country	:	US
Telephone Number	:	734-936-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 EAST MEDICAL CENTER DRIVE
Second Line	:	5TH FLOOR CS MOTT CHILDRENS HOSPITAL
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-4241
Country	:	US
Telephone Number	:	734-936-5780
Fax Number	:	734-647-3291

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

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	04/08/2013

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