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Contact Information

JACQUELINE KIROUAC, MSN, AGNP-C, APRN
16001 W 9 MILE RD
SOUTHFIELD, MI48075-4818
 Phone: 248-849-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JACQUELINE KIROUAC · (Female)

NPI # 1689438574
Status Active
Credentials MSN, AGNP-C, APRN
Entity Individual
Enumeration date 02/12/2024
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704341154
  • MI License # AG11210087
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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