Individual provider · Type 1 NPI
Jessica Lynn Kata, CPNP-AC
Pediatric Nurse Practitioner · Grosse Pointe Woods, MI
NPI number
1255895355
Active
Practice location
19229 Mack Ave Ste 28
Grosse Pointe Woods, MI 48236-2857
Mailing address
28235 Delton St
Madison Heights, MI 48071-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704256354 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1255895355
Jessica Lynn Kata, CPNP-AC's National Provider Identifier is 1255895355, issued on Jan 23, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Sep 30, 2021.