| Doctor Name: | JENNIFER LYNN BRUJITSKE |
| NPI Number: | 1215035423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704207537 |
| Business Practice Address: | 24430 Ford Rd Ste A Dearborn Heights, MI - 481273280 |
| Business Phone Number: | 3135656782 |
| Business Fax Number: | 3135656784 |
| Mailing Address: | Po Box 670660, DETROIT |
| State: | MI |
| Postal Code: | 482670660 |
| Phone Number: | 8663218433 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 10/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 4704207537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |