Individual provider · Type 1 NPI

Jessica Knoodle

Registered Nurse · Farmington Hills, MI

NPI number 1104747005 Active

Practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704283452 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104747005

Jessica Knoodle's National Provider Identifier is 1104747005, issued on Jul 24, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Jul 24, 2026.