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

Jackie R Gyomory, ACNP-BC

Individual provider Nurse Practitioner · NPI 1699075044

Jackie R Gyomory, ACNP-BC is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2010, 16 years ago. Practices with Vascular and Endovascular Associates PLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois, Michigan and Pennsylvania.

Years since qualifying
16
Licensed in
IL, MI, PA
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704259474 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence RN586505 (PA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209.010429 (IL)

Record details

NPI number1699075044
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedNovember 1, 2010
Last updated in NPPESJuly 29, 2022
Certification dateJuly 28, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Vascular And Endovascular Associates Plc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Royal Oak