Individual provider · Type 1 NPI

Jennifer M. Gideon, FNP

Family Nurse Practitioner · Troy, MI

NPI number 1104272160 Active

Practice location

1560 E Maple Rd, Suite 400 - Credentialing
Troy, MI 48083-1138

Fax (313) 745-0011

Mailing address

4160 John R St, Ste 917
Detroit, MI 48201-2020

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704139802 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1104272160

Jennifer M. Gideon, FNP's National Provider Identifier is 1104272160, issued on May 9, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Troy, MI. The record was last updated on Jun 28, 2016.