Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704275121 | MI |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 4704275121 | MI |
NPI | 1205349719 |
---|---|
Provider Name | Jennifer Huber Bartlett |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-4254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2017 |
Last Update Date | 04/12/2018 |