Individual provider · Type 1 NPI
Jae Berry, RN
Case Management Registered Nurse · Detroit, MI
NPI number
1639040413
Active
Practice location
100 Riverfront Dr Apt 1606
Detroit, MI 48226-4539
Fax (586) 408-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Phlebology Physician | 202K00000X | 4704403446 (MI) |
| Case Management Registered Nurse Primary | 163WC0400X | 4704403446 (MI) |
| Case Manager/Care Coordinator | 171M00000X | 4704403446 (MI) |
Case Management Registered Nurse: Definition to come...
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About NPI 1639040413
Jae Berry, RN's National Provider Identifier is 1639040413, issued on Sep 15, 2025. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Detroit, MI. The record was last updated on Sep 15, 2025.