Individual provider · Type 1 NPI

Jackie R. Gyomory, ACNP-BC

Acute Care Nurse Practitioner · Royal Oak, MI

NPI number 1699075044 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XRN586505 (PA)
Acute Care Nurse Practitioner 363LA2100X209.010429 (IL)
Acute Care Nurse Practitioner Primary 363LA2100X4704259474 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1699075044

Jackie R. Gyomory, ACNP-BC's National Provider Identifier is 1699075044, issued on Nov 1, 2010. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Royal Oak, MI. The record was last updated on Jul 29, 2022.