Individual provider · Type 1 NPI
Jeanne Jennae Pridemore, FNP-C
Nurse Practitioner · Troy, MI
Practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704325133 (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 1871428334
Jeanne Jennae Pridemore, FNP-C's National Provider Identifier is 1871428334, issued on Jun 16, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Troy, MI. The record was last updated on Oct 1, 2026.