Individual provider · Type 1 NPI
Jacqueline Kirouac, MSN, AGNP-C, APRN
Primary Care Nurse Practitioner · Southfield, MI
NPI number
1689438574
Active
Practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Mailing address
1848 Carsons Cv
Commerce Township, MI 48390-1865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 4704341154 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | AG11210087 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1689438574
Jacqueline Kirouac, MSN, AGNP-C, APRN's National Provider Identifier is 1689438574, issued on Feb 12, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Southfield, MI. The record was last updated on Feb 12, 2024.