Individual provider · Type 1 NPI

Jennifer Elaine Kopnick

Psychiatric/Mental Health Nurse Practitioner · Livonia, MI

NPI number 1760292452 Active

Practice location

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952

Mailing address

2911 Pontiac Lake Rd
Waterford, MI 48328-2681

Other practice locations

  • 2911 Pontiac Lake Rd, Waterford, MI 48328-2681 · (951) 505-5465

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704318207 (MI)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704318207 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760292452

Jennifer Elaine Kopnick's National Provider Identifier is 1760292452, issued on Jan 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Livonia, MI. The record was last updated on Sep 5, 2025.