| Doctor Name: | JORDYN PIERCE |
| NPI Number: | 1033566393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5610007763 |
| Business Practice Address: | 51850 Dequindre Rd Suite 1 Shelby Township, MI - 483162806 |
| Business Phone Number: | 5867994082 |
| Business Fax Number: | |
| Mailing Address: | 51850 Dequindre Rd, Suite 1 SHELBY TOWNSHIP |
| State: | MI |
| Postal Code: | 483162806 |
| Phone Number: | 5867994082 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2016 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 5610007763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |