Most Relevant Information
Provider Data
| NPI Number: | 1003574914 |
| Provider Name: | ERIN MARIE JAKOVAC FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704304551 |
Most Important Dates
| Enumeration Date: | 12/08/2021 |
| Last Updated: | 12/08/2021 |
Provider Practice Location
2124 DAVIS ST
WYANDOTTE
MI
481923539
Practice Location Phone/Fax
| Phone: | 7343083814 |
| Fax: |
Provider Mailing Location
2124 DAVIS ST
WYANDOTTE
MI
481923539
Provider Mailing Phone/Fax
| Phone: | 7343083814 |
| Fax: |