Individual provider · Type 1 NPI
Kristen Marie Dessouki, NP
Nurse Practitioner · Redford, MI
Practice location
17190 Lennane
Redford, MI 48240-2130
Mailing address
PO Box 18998
Belfast, ME 04915-4084
Other practice locations
- 261 Mack Ave, Detroit, MI 48201-2417 · (313) 745-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704276440 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1700508512
Kristen Marie Dessouki, NP's National Provider Identifier is 1700508512, issued on Sep 19, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Redford, MI. The record was last updated on May 19, 2026.