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

Jeanne Nassar, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1760704761

Jeanne Nassar, PHYSICIANASSISTANT is a Physician Assistant in Dearborn, Michigan. Qualified in 2008, 18 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2010
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Practice location Address checks out

5046 Kenilworth St
Dearborn, MI 48126-3191
Phone: (313) 467-5284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005445 (MI)

Record details

NPI number1760704761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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