Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA NICOLE HUMPHREY, PA-C
Active Sole ProprietorJESSICA NICOLE HUMPHREY, PA-C is a Surgical Physician Assistant healthcare provider located in REDFORD TWP, Michigan. NPI 1083865398 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · REDFORD TWP, MI
Registration Details
- NPI Number
- 1083865398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2008 (17.897650187342 yrs)
- Last Updated
- Nov 24, 2014
- License
-
5601005400 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15540 BEECH DALY RDMIDWEST URGENT CAREREDFORD TWP, MI, 48239Browse MI providers · Browse ZIP 48239
- Phone
- 3135926330
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.