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

Jaden Ivory Fowler, BSNRNCCRN

Individual provider Registered Nurse · NPI 1558081331

Jaden Ivory Fowler, BSNRNCCRN is a Registered Nurse in Sterling Heights, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

43117 Chaucer Ct
Sterling Heights, MI 48313-1830
Phone: (248) 514-0320
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704338945 (MI)

Record details

NPI number1558081331
Entity typeIndividual (Type 1)
GenderMale
Credentials BSNRNCCRN
Sole proprietorYes
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

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