Individual provider · Type 1 NPI

Jessica Long, NP

Nurse Practitioner · Shelby Township, MI

NPI number 1922519958 Active

Practice location

6300 22 Mile Rd
Shelby Township, MI 48317-2106

Mailing address

910 Stanford Cir
Rochester Hills, MI 48309-2300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704234996 (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 1922519958

Jessica Long, NP's National Provider Identifier is 1922519958, issued on Oct 17, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shelby Township, MI. The record was last updated on Oct 17, 2017.