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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT JENNER

Active Sole Proprietor

SCOTT JENNER is a Nurse Practitioner healthcare provider located in EASTPOINTE, Michigan. NPI 1063361343 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · EASTPOINTE, MI

Registration Details

NPI Number
1063361343
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2026 (0.50942395055711 yrs)
Last Updated
Feb 23, 2026
License
4704378952 (MI)
Sole Proprietor
Yes

Practice Information

Address
22745 KELLY RD
EASTPOINTE, MI, 480212047
Browse MI providers · Browse ZIP 48021
Phone
5867711000
Fax
5867790058
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in EASTPOINTE, MI

Name Credential NPI
MARY SUSAN MCMAHON NP 1821174012
JOAN M OLEAR NP 1912083114
MRS. KATHERINE ANNE PAQUETTE ACNP 1932250206
MRS. ANITA LOUISE TRINGALI NURSE PRACTITIONER 1851585228
MRS. ANDREA D ZINKE FNP-BC 1346740420
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.