Search › Michigan › 363LP2300X
Jennifer Idrissu, NP
NPI 1053931873 · on the registry since 2020
Practice
- Address
- 3455 Starr Rd
Royal Oak, MI 48073 - Phone
- (248) 288-9340
- Fax
- (248) 965-3029
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 363L00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan