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39555 Orchard Hill Pl Ste 600 Novi MI 48375-5381 | |
| (833) 633-1295 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 39555 Orchard Hill Pl Ste 600, Novi, Michigan |
| Authorized Official Name and Position | Jennifer Little (DIRECTOR) |
| Authorized Official Contact | 7244548146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
210 Athens Way Ste 100 Nashville TN 37228-1308 Ph: (833) 633-1295 | 39555 Orchard Hill Pl Ste 600 Novi MI 48375-5381 Ph: (833) 633-1295 |
| NPI Number | 1053019679 |
|---|---|
| Provider Enumeration Date | 02/22/2023 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 3577903442 |
|---|---|
| Medicare Enrollment ID | O20240426000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053019679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Maggie F Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144268210 PECOS PAC ID: 0143290171 Enrollment ID: I20040728000434 |
| Provider Name | Cheri L Grassel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477790996 PECOS PAC ID: 3870788375 Enrollment ID: I20101110000482 |
| Provider Name | Joyce E Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225005002 PECOS PAC ID: 6507052255 Enrollment ID: I20101122000078 |
| Provider Name | Marcy Binford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629479498 PECOS PAC ID: 9638399876 Enrollment ID: I20141009002235 |
| Provider Name | Rochelle Lenetta Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083974 PECOS PAC ID: 9638459761 Enrollment ID: I20161207002326 |
| Provider Name | Jennifer Azelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124583158 PECOS PAC ID: 9931441755 Enrollment ID: I20230315002684 |
| Provider Name | Molly Marie Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972172054 PECOS PAC ID: 3072977768 Enrollment ID: I20230913004088 |
| Provider Name | Melanie Odeleye |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1184988255 PECOS PAC ID: 0244474633 Enrollment ID: I20231002002678 |
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