Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER R IDRISSU, NP
ActiveJENNIFER R IDRISSU, NP is a Primary Care Nurse Practitioner healthcare provider located in ROYAL OAK, Michigan. NPI 1053931873 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · ROYAL OAK, MI
Registration Details
- NPI Number
- 1053931873
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2020 (6.2832749537669 yrs)
- Last Updated
- Jun 18, 2024
- Licenses
-
4704245483 (MI)4704245483 (MI)
Practice Information
- Address
-
3455 STARR RDROYAL OAK, MI, 480732100Browse MI providers · Browse ZIP 48073
- Phone
- 2482889340
- Fax
- 2489653029
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in ROYAL OAK, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. MARISA ANNE BADANJEK | NP-C | 1114153756 |
| MAUREEN THERESE ROMANCHIK | ANP | 1881032407 |
| CARLA PHILLIPS | APRN | 1982022703 |
| PAULA J ZALEWSKI | AGPCNP-BC | 1194125443 |
| PATRICIA DUNAWAY | NP | 1427406669 |
| AMANDA BYERS | AGACNP | 1902502214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.