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

Danyielle Krista Jernukian, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1861097263

Danyielle Krista Jernukian, AGPCNP-BC is a Nurse Practitioner in Southfield, Michigan. Graduated from Oakland Univ, William Beaumont School of Medicine in 2020, 6 years ago. Licensed in Michigan.

Years since qualifying
6
Trained at
Oakland Univ, William Beaumont School of Medicine
Licensed in
MI
In the registry since
2020

Practice location Address checks out

25130 Southfield Rd
Southfield, MI 48075-1910
Phone: (248) 234-6799
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704317172 (MI)

Record details

NPI number1861097263
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOAKLAND UNIV, WILLIAM BEAUMONT SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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