Individual provider · Type 1 NPI
Jennifer Lynn Krishnan, M.S. PA-C
Surgical Physician Assistant · Bloomfield Hills, MI
NPI number
1609214972
Active
Practice location
36800 Woodward Ave Ste 112
Bloomfield Hills, MI 48304-0916
Fax (947) 243-3301
Mailing address
915 N Alexander Ave
Royal Oak, MI 48067-3607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 5601006682 (MI) |
Surgical Physician Assistant: Definition to come...
5 other providers at this address
- Center of Aesthetic and Reconstructive Surgery, PLLCPlastic Surgery Physician Bloomfield Hills, MI NPI 1790635415
- Elizabeth Eiten LMSW LLCClinical Social Worker Bloomfield Hills, MI NPI 1649790387
- Miletic Institute for Integrated Health PLLCMental Health Counselor Bloomfield Hills, MI NPI 1831850965
- Elizabeth Rose Eiten, LMSWClinical Social Worker Bloomfield Hills, MI NPI 1467819425
- Kongkrit Chaiyasate, MDPlastic Surgery Physician Bloomfield Hills, MI NPI 1467574467
About NPI 1609214972
Jennifer Lynn Krishnan, M.S. PA-C's National Provider Identifier is 1609214972, issued on Jun 10, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Jul 7, 2026.