Individual provider · Type 1 NPI
Jennifer Ann Soper, WHNP
Obstetrics & Gynecology Nurse Practitioner · Detroit, MI
NPI number
1063924926
Active
Practice location
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Mailing address
2567 Bell Cir
Stevensville, MI 49127-8700
Other practice locations
- 111 N Orange Ave Ste 800, Orlando, FL 32801-2381 · (888) 731-8994
- 21 E State St Ste 200, Columbus, OH 43215-0109 · (888) 731-8994
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 4704191329 (MI) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1063924926
Jennifer Ann Soper, WHNP's National Provider Identifier is 1063924926, issued on Nov 1, 2017. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Detroit, MI. The record was last updated on May 4, 2025.