Individual provider · Type 1 NPI
Jessica Wentworth
Psychiatric/Mental Health Nurse Practitioner · Novi, MI
NPI number
1336591973
Active
Practice location
26850 Providence Pkwy
Novi, MI 48374-1213
Other practice locations
- 2315 Pontiac Trl, Ann Arbor, MI 48105-1277 · (586) 703-6532
- 2315 Pontiac Trl, Ann Arbor, MI 48105-1277 · (586) 703-6532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704282917 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704282917 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336591973
Jessica Wentworth's National Provider Identifier is 1336591973, issued on Jul 7, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Novi, MI. The record was last updated on Aug 27, 2026.