Individual provider · Type 1 NPI

Jennifer Sam

Psychiatric/Mental Health Nurse Practitioner · Shelby Township, MI

NPI number 1336405059 Active

Practice location

13045 Michael Dr
Shelby Township, MI 48315-4744

Call (248) 225-1959 Map

Other practice locations

  • 210 W University Dr Ste 6D, Rochester, MI 48307-1975 · (586) 330-0659

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704248128 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704248128 (MI)
Adult Health Nurse Practitioner 363LA2200X4704248128 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1336405059

Jennifer Sam's National Provider Identifier is 1336405059, issued on Apr 6, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shelby Township, MI. The record was last updated on May 9, 2024.