Individual provider · Type 1 NPI
Jemila Ali
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1417626771
Active
Practice location
3950 Sparks Dr SE
Grand Rapids, MI 49546-6159
Mailing address
3475 Belle Chase Way
Lansing, MI 48911-4252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 470474701 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704274701 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1417626771
Jemila Ali's National Provider Identifier is 1417626771, issued on Sep 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 9, 2024.