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

Jennifer R Idrissu, NP

Individual provider Nurse Practitioner · NPI 1053931873

Jennifer R Idrissu, NP is a Nurse Practitioner in Royal Oak, Michigan. Qualified in 2019, 7 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3455 Starr Rd
Royal Oak, MI 48073-2100
Phone: (248) 288-9340
Fax: (248) 965-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704245483 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704245483 (MI)

Record details

NPI number1053931873
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 22, 2020
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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