NPI 1164561874

Jodee M. Thornley, NP

Practitioner Nurse Practitioner Wyandotte, MI

Practice location

Address: 2333 Biddle St, Wyandotte, MI 48192-4668
Phone: (734) 324-3463
Fax: (734) 246-7266
Mailing address: 9377 Allen Rd, Allen Park, MI 48101-1437

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4704173465 (MI)

Other Nurse Practitioner providers in Michigan →

Registry record

NPI: 1164561874
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.