Jaclyn Riley
Jaclyn Riley is a Nurse Practitioner in Canton, Michigan. Qualified in 2019, 7 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 7
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
2050 N Haggerty Rd Ste 200Canton, MI 48187-3796
Phone: (313) 550-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 4704347010 (MI) |
|---|
Record details
| NPI number | 1063000545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 9, 2021 |
| Last updated in NPPES | September 29, 2023 |
| Certification date | September 29, 2023 |
| Mailing address | 1083 Beaconsfield Ave, Grosse Pointe Park, MI 48230-1346 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Beaumont Medical Group- Specialty Services — 858 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
Other providers in Canton
-
Lashawnda Marie McLean
41925 S Dr, Canton, MI 48188-2620 · (313) 244-9622
-
Sukhwinder Kaur Pabla
43445 Cherrywood Ln, Canton, MI 48188-5303 · (734) 325-3371
-
Shweta Alkesh Patel
6646 Carriage Hills Dr, Canton, MI 48187-3042 · (734) 709-3959
-
Shafiq U Rehman
41667 Quail Ct, Canton, MI 48188-5228 · (313) 247-6013
-
MS. Catherine Nicole Yutzy, MSN, APRN, FNP-C
43033 Ford Rd, Canton, MI 48187-3375 · (248) 563-0921