Individual provider · Type 1 NPI

Jaclyn Carol House, MSN, FNP-BC, RN

Family Nurse Practitioner · Detroit, MI

NPI number 1700289543 Active

Practice location

3990 John R St
Detroit, MI 48201-2018

Mailing address

13117 W 11 Mile Rd
Huntington Woods, MI 48070-1009

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704276550 (MI)
Registered Nurse 163W00000X4704276550 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1700289543

Jaclyn Carol House, MSN, FNP-BC, RN's National Provider Identifier is 1700289543, issued on Oct 8, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Jan 8, 2015.