Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704235055 | MI |
N | 363LC1500X | Nurse Practitioner - Community Health | 4704235055 | MI |
NPI | 1437214921 |
---|---|
Provider Name | Jennifer Lynne-Feldkamp Dubnicki |
First Address | Chelsea, MI 48118-1801 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 09/08/2016 |