Individual provider · Type 1 NPI

Kefah Abbas Mazloum

Family Nurse Practitioner · Jackson, MI

NPI number 1356093553 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 25325 Ford Rd Ste 200, Dearborn, MI 48128-1086 · (313) 887-7774
  • 5446 Bingham St, Dearborn, MI 48126-3306 · (313) 358-0203
  • 2799 W Grand Blvd, Detroit, MI 48202-2608 · (800) 653-6568

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704341497 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1356093553

Kefah Abbas Mazloum's National Provider Identifier is 1356093553, issued on Jan 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MI. The record was last updated on Mar 17, 2025.