Doctor Name: | JENNIFER KULINSKI |
NPI Number: | 1033595749 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 4704266577 |
Business Practice Address: | 24800 Ursuline St Saint Clair Shores, MI - 480803195 |
Business Phone Number: | 5869455088 |
Business Fax Number: | |
Mailing Address: | 24800 Ursuline St, SAINT CLAIR SHORES |
State: | MI |
Postal Code: | 480803195 |
Phone Number: | 5869455088 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2015 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4704266577 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |