Individual provider · Type 1 NPI

Lonna Kay Otis-Pepper, NP

Nurse Practitioner · Jackson, MI

NPI number 1881644300 Active

Practice location

205 N East Ave
Jackson, MI 49201-1753

Fax (517) 796-6410

Mailing address

Department 272801, PO Box 67000
Detroit, MI 48267-2728

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704185283 (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 1881644300

Lonna Kay Otis-Pepper, NP's National Provider Identifier is 1881644300, issued on May 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MI. The record was last updated on Nov 23, 2007.