Jessica Lane, CPNP-PC

NPI 1922767284 · on the registry since 2021

Practice

Address: 20225 E 9 Mile Rd
Saint Clair Shores, MI 48080
Phone: (313) 600-5349
Organisation at this address: Vgw Llc
Park Pharmacy Scs Llc
St John Hospital And Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Also registered as: 163WP0200X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-10-26

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