Individual provider · Type 1 NPI

Jaclyn L. Gingrich, NP-C

Nurse Practitioner · Troy, MI

NPI number 1124523279 Active

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Call (248) 964-5000 Map

Fax (248) 964-4848

Mailing address

130 Town Center Dr Ste 203
Troy, MI 48084-1744

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704295937 (MI)
Family Nurse Practitioner 363LF0000X4704295937 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124523279

Jaclyn L. Gingrich, NP-C's National Provider Identifier is 1124523279, issued on Mar 29, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Troy, MI. The record was last updated on Mar 29, 2018.