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

Jennifer Lynn Krishnan, MSPA-C

Individual provider Surgical Physician Assistant · NPI 1609214972

Jennifer Lynn Krishnan, MSPA-C is a Surgical Physician Assistant in Bloomfield Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

36800 Woodward Ave Ste 112
Bloomfield Hills, MI 48304-0916
Phone: (947) 274-8300
Fax: (947) 243-3301
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601006682 (MI)

Record details

NPI number1609214972
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA-C
Sole proprietorNo
NPI enumeratedJune 10, 2013
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026