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Jerrica Atiyeh, PA-C
NPI 1467067975 · on the registry since 2020
Practice
- Address
- 44200 Woodward Ave Ste 101
Pontiac, MI 48341 - Phone
- (248) 212-0678
- Fax
- (248) 212-0790
- Organisation at this address
- Detroit Vamc
Pampered Child
Annamma Pullukat
Annamma Pullukat
Grace Pediatrics PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 42
Additional practice sites
- 28050 Grand River Ave, Farmington Hills, MI
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-14
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