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

Individual provider Family Nurse Practitioner · NPI 1124013859

Jennifer Platkus, NURSEPRACTITIONER is a Nurse Practitioner in Southfield, Michigan. Qualified in 2003, 23 years ago. Practices with Michigan Kidney Consultants PC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2005
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Practice location Address checks out

22250 Providence Dr Ste 406
Southfield, MI 48075-4825
Phone: (248) 557-9010
Fax: (248) 557-3655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704195094 (MI)

Record details

NPI number1124013859
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESMarch 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Michigan Kidney Consultants Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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