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

Jennifer Elaine Kopnick

Individual provider Registered Nurse · NPI 1760292452

Jennifer Elaine Kopnick is a Nurse Practitioner in Livonia, Michigan. Graduated from University of Michigan Medical School in 2025, 1 year ago. Practices with Victor M. Cruz MD, PC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone: (734) 462-3210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2911 Pontiac Lake Rd, Waterford, MI 48328-2681 — (951) 505-5465

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704318207 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704318207 (MI)

Record details

NPI number1760292452
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2025 (1 years in practice)
Group practice Victor M. Cruz Md, P.C. — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Livonia