| Doctor Name: | JENNIFER ANDRES |
| NPI Number: | 1255702759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4704189301 |
| Business Practice Address: | 1096 S Belsay Rd Ste C Burton, MI - 485091948 |
| Business Phone Number: | 8107433351 |
| Business Fax Number: | 8102441239 |
| Mailing Address: | 3495 S Center Rd, BURTON |
| State: | MI |
| Postal Code: | 485191455 |
| Phone Number: | 8104242011 |
| Fax Number: | 8102494037 |
| NPI Enumeration Date: | 10/10/2015 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704189301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |