SearchMichiganFamily Nurse Practitioner

Kristen Bourgon, MSN, AGPCNP-BC

NPI 1851838809 · on the registry since 2017 · sole proprietor

Practice

Address
21650 W 11 Mile Rd Ste 202
Southfield, MI 48076
Phone
(248) 327-6196
Fax
(248) 327-6356
Organisation at this address
Regal Imaging Llc
Elder Care Services
Mindful Concepts, Llc
Black Male Therapist Llc
S Plus S Enterprises Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 236 Constitution St, Canton, MI

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Adult Health Nurse Practitioner
Gerontology Nurse Practitioner
Primary Care Nurse Practitioner
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-09

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