Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Michael Eichenlaub, MSNAPRN, FNP-C

Individual provider Nurse Practitioner · NPI 1174256747

Jeffrey Michael Eichenlaub, MSNAPRN, FNP-C is a Nurse Practitioner in Southfield, Michigan. Qualified in 2022, 4 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

22250 Providence Dr Ste 500
Southfield, MI 48075-6213
Phone: (248) 849-3441
Fax: (248) 849-5389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 630 Hartland Dr, Troy, MI 48083-5183 — (248) 835-9019

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704252514 (MI)

Record details

NPI number1174256747
Entity typeIndividual (Type 1)
GenderMale
Credentials MSNAPRN , FNP-C
Sole proprietorYes
NPI enumeratedJuly 1, 2022
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address630 Hartland Dr, Troy, MI 48083-5183

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southfield