Jennifer Shawn Edgar
Nurse Practitioner - Gerontology
36123 Schoolcraft Rd
Livonia
, Michigan 48150-1216
Jennifer Shawn Edgar
Nurse Practitioner - Gerontology
36123 Schoolcraft Rd
Livonia
, Michigan 48150-1216
(734) 402-0254
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jennifer Shawn Edgar
- 36123 Schoolcraft Rd
- Livonia, MI
- Zip : 48150-1216
- Fax : (734) 402-0254
- Phone : (734) 464-0887
Second Address
- Jennifer Shawn Edgar
- 36123 Schoolcraft Rd
- Livonia, MI
- Zip : 48150-1216
- Fax : (734) 402-0254
- Phone : (734) 464-0887
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 4704197458 | MI |
National Provider Identifier
| NPI | 1013107366 |
|---|---|
| Provider Name | Jennifer Shawn Edgar |
| First Address | Livonia, MI 48150-1216 |
| Second Address | Livonia, MI 48150-1216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2007 |
| Last Update Date | 14/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.