Individual provider · Type 1 NPI

Pamela Jennings, NP

Pediatric Nurse Practitioner · Royal Oak, MI

NPI number 1720094790 Active

Practice location

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

Call (248) 423-2454 Map

Fax (248) 423-2454

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704140788 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720094790

Pamela Jennings, NP's National Provider Identifier is 1720094790, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Royal Oak, MI. The record was last updated on Jan 19, 2021.