Jacob Jewell, FNP-C

NPI 1902419104 · on the registry since 2020 · sole proprietor

Practice

Address: 20952 E 12 Mile Rd Ste 200
Saint Clair Shores, MI 48081
Phone: (586) 771-4820
Fax: (586) 771-6620
Organisation at this address: Michigan Institute Of Urology Pc
Michigan Institute Of Urology Laboratory
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 33

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-09-22

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