Individual provider · Type 1 NPI
Jasmine S. Kiryakoza, FNP-C
Family Nurse Practitioner · Walled Lake, MI
NPI number
1346110079
Active
Practice location
15101 Golden Ave
Walled Lake, MI 48390-2693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F11250156 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346110079
Jasmine S. Kiryakoza, FNP-C's National Provider Identifier is 1346110079, issued on Nov 7, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Walled Lake, MI. The record was last updated on Nov 7, 2025.