Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence-Providence Park Hospital

Organization Registered Nurse · NPI 1780649822

Providence-Providence Park Hospital is a Registered Nurse in Southfield, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

16001 W 9 Mile Rd Physician Billing Services
Southfield, MI 48075-4818
Phone: (248) 849-3000
Fax: (248) 849-2244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X
Hospice Registered Nurse Taxonomy 163WH1000X
Maternal Newborn Registered Nurse Taxonomy 163WM0102X

Record details

NPI number1780649822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Johnson — Director, Central Billing Office · (248) 680-8206
Other names Ph Nurse Practitioners/Providence Hospital And Medical Centers Inc
NPI enumeratedApril 20, 2006
Last updated in NPPESAugust 25, 2016
Mailing address2800 Livernois Rd, Suite 500, Troy, MI 48083-1215

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