Provider Demographics
NPI:1912484775
Name:SCARIA, JESS M (NP)
Entity Type:Individual
Prefix:
First Name:JESS
Middle Name:M
Last Name:SCARIA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:28455 HAGGERTY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2982
Mailing Address - Country:US
Mailing Address - Phone:248-893-3220
Mailing Address - Fax:248-893-2951
Practice Address - Street 1:28455 HAGGERTY RD STE 200
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2982
Practice Address - Country:US
Practice Address - Phone:248-893-3200
Practice Address - Fax:248-893-2950
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-24
Last Update Date:2023-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704240508363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner