Individual provider · Type 1 NPI

Jennifer Lynn Livingston, CPNP-AC

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1508130964 Active

Practice location

3901 Beaubien St
Detroit, MI 48201-2119

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	4704260968 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1508130964

Jennifer Lynn Livingston, CPNP-AC's National Provider Identifier is 1508130964, issued on Mar 2, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Mar 2, 2012.