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

Jennifer Sam

Individual provider Nurse Practitioner · NPI 1336405059

Jennifer Sam is a Nurse Practitioner in Shelby Township, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
Specialties on file
3

Practice location Address checks out

13045 Michael Dr
Shelby Township, MI 48315-4744
Phone: (248) 225-1959
Show map & directions

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

Additional practice locations (1)

  • 210 W University Dr Ste 6d, Rochester, MI 48307-1975 — (586) 330-0659

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704248128 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704248128 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704248128 (MI)

Record details

NPI number1336405059
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 6, 2012
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Other providers in Shelby Township