Individual provider · Type 1 NPI

Jean A. Edmondson, NP

Family Nurse Practitioner · St. Clair Shores, MI

NPI number 1992742753 Active

Practice location

23829 Little Mack Ave, Suite 100
St. Clair Shores, MI 48080-1186

Fax (586) 773-1600

Other practice locations

  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2300

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XJE215622 (MI)
Nurse Practitioner 363L00000X4704215622 (MI)
Family Nurse Practitioner Primary 363LF0000X4704215622 (MI)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1992742753

Jean A. Edmondson, NP's National Provider Identifier is 1992742753, issued on Jun 1, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Nov 8, 2021.