Individual provider · Type 1 NPI

Maggie Janisse, CNP

Nurse Practitioner · Detroit, MI

NPI number 1659746154 Active

Practice location

4100 John R St
Detroit, MI 48201-2013

Fax (313) 576-8381

Mailing address

1560 E Maple Rd, Suite 400 - Credentialing
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704283330 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659746154

Maggie Janisse, CNP's National Provider Identifier is 1659746154, issued on Dec 9, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Jan 30, 2017.