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

JESSICA LYNN LANE, CPNP-PC

Active

JESSICA LYNN LANE, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in SAINT CLAIR SHORES, Michigan. NPI 1922767284 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · SAINT CLAIR SHORES, MI

Registration Details

NPI Number
1922767284
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2021 (4.6253080051866 yrs)
Last Updated
Oct 26, 2022
Licenses
4704342324 (MI)
4704342324 (MI)

Practice Information

Address
20225 E 9 MILE RD
SAINT CLAIR SHORES, MI, 480801700
Browse MI providers · Browse ZIP 48080
Phone
3136005349
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in SAINT CLAIR SHORES, MI

Name Credential NPI
JENNIFER JO STARRS RN, MSN, CPNP 1629223821
KAITLIN LOVE RN MSN CPNP-PC 1790421782
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.