| Doctor Name: | MRS. JENNIFER MYERS |
| NPI Number: | 1053533935 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN NP |
| License Number: | 209667 |
| Business Practice Address: | 1428 S Lapeer Rd Lake Orion, MI - 483601437 |
| Business Phone Number: | 2486930543 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2137, BIRMINGHAM |
| State: | MI |
| Postal Code: | 480122137 |
| Phone Number: | 2486930543 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 209667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |