Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 470429732 | MI |
NPI | 1225660582 |
---|---|
Provider Name | Mrs. Elizabeth Jane Knight |
First Address | Saginaw, MI 48602-4727 |
Second Address | Saginaw, MI 48602-4727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2020 |
Last Update Date | 11/10/2021 |