MEDICARE: JEAN GASH NURSE PRACTITIONER

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	4704099640	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	JG099640	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1205976537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN GASH NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	4669 RAVINE DR
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301-3640
Country	:	US
Telephone Number	:	248-594-7442
Fax Number	:

Provider Business Practice Location Address
First Line	:	4669 RAVINE DR
Second Line	:
City	:	BLOOMFIELD TOWNSHIP
State	:	MI
Zip	:	48301
Country	:	US
Telephone Number	:	248-594-7442
Fax Number	:

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

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	05/24/2018

Similar Medicare Providers

1750372678 — DR. MARY K ALANI MD
Practice Location Address:

6405 TELEGRAPH RD , BLDG F STE 2
BLOOMFIELD TOWNSHIP, MI
48301

Practice Phone: 248-646-3323
Practice Fax: 248-646-3355

1649376922 — SUPAK SOOKKASIKON M.D.
Practice Location Address:

4050 W MAPLE RD , SUITE 101
BLOOMFIELD TOWNSHIP, MI
48301-3148

Practice Phone: 248-885-8211
Practice Fax: 248-885-8357

1144430349 — MRS. RAMONA MARIJA RUKSTELE MSW
Practice Location Address:

4879 QUARTON RD
BLOOMFIELD TOWNSHIP, MI
48301-1029

Practice Phone: 248-851-6979
Practice Fax:

1376786152 — PAMELA ANN HIBBARD TIMREK M.A. CCC-SLP
Practice Location Address:

3816 LINCOLN DRIVE
BLOOMFIELD TOWNSHIP, MI
48301

Practice Phone: 734-748-9345
Practice Fax:

1275860009 — DR. JAMES HERMAN, P.L.L.C
Practice Location Address:

6431 INKSTER RD , SUITE 220
BLOOMFIELD TOWNSHIP, MI
48301-1310

Practice Phone: 248-539-0100
Practice Fax:

1457676876 — MS. JULIA LEIGH RAPHAEL MT-BC
Practice Location Address:

6085 WORLINGTON RD
BLOOMFIELD TOWNSHIP, MI
48301-1541

Practice Phone: 248-227-0582
Practice Fax:

Directions to “ JEAN GASH NURSE PRACTITIONER” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.