Individual provider · Type 1 NPI

Jillian N. Petkus, FNP-BC

Family Nurse Practitioner · Oxford, MI

NPI number 1174879951 Active

Practice location

72 S Washington St
Oxford, MI 48371-6421

Fax (248) 236-8666

Mailing address

215 E Auburn Rd
Rochester Hills, MI 48307-5260

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704266490 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1174879951

Jillian N. Petkus, FNP-BC's National Provider Identifier is 1174879951, issued on Jul 30, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oxford, MI. The record was last updated on Aug 6, 2014.