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NPI Code Detail

MEDICARE: JENNIFER ARICKX RN

MEDICARE: JENNIFER ARICKX RN
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
1163WP0200XPediatric Registered Nurse4704277968MI

General Provider Information

NPI Number : 1932591500
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ARICKX RN
Provider Business Mailing Address
First Line : 40 E FERRY ST
Second Line :
City : DETROIT
State : MI
Zip : 48202-3802
Country : US
Telephone Number : 734-785-7751
Fax Number : 313-870-9228
Provider Business Practice Location Address
First Line : 40 E FERRY ST
Second Line :
City : DETROIT
State : MI
Zip : 48202-3802
Country : US
Telephone Number : 734-785-7751
Fax Number : 313-870-9228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2015
Last Update Date : 02/19/2015

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