SearchMichigan363AM0700X

Jessica Squires, PA-C

NPI 1699176404 · on the registry since 2014 · sole proprietor

Practice

Address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375
Phone
(313) 515-9339
Organisation at this address
Theoria Medical
Luminary Hospice Of Michigan, Llc
Complexcare Medical Group Kansas H Llc
Complexcare Medical Group Kansas M Llc
Ellie Mental Health Live Authentic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Sex
Female
Record last updated
2023-08-31

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