Individual provider · Type 1 NPI

Jessica Squires, PA-C

Medical Physician Assistant · Novi, MI

NPI number 1699176404 Active

Practice location

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1699176404

Jessica Squires, PA-C's National Provider Identifier is 1699176404, issued on Sep 11, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Novi, MI. The record was last updated on Aug 31, 2023.