Individual provider · Type 1 NPI

Necola Selena Table, FNP-C

Family Nurse Practitioner · Detroit, MI

NPI number 1659970002 Active

Practice location

4909 E Outer Dr
Detroit, MI 48234-3446

Fax (313) 447-1582

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704250204 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1659970002

Necola Selena Table, FNP-C's National Provider Identifier is 1659970002, issued on Oct 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on May 8, 2026.