Individual provider · Type 1 NPI

Jeremy Kudzia

Registered Nurse · St. Clair Shores, MI

NPI number 1174922884 Active

Practice location

25401 Harper Ave Ste 2
St. Clair Shores, MI 48081-2248

Call (586) 469-6912 Map

Mailing address

42383 Garfield Rd Unit 381131
Clinton Township, MI 48038-7737

Other practice locations

1305 E Eighth St Ste B, Traverse City, MI 49686-2981 · (231) 922-9625

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	4704307001 (MI)
Registered Nurse Primary	163W00000X	4704307001 (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 1174922884

Jeremy Kudzia's National Provider Identifier is 1174922884, issued on Aug 19, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jan 6, 2025.