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

Jeremy Kudzia

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174922884

Jeremy Kudzia is a Psychiatric/Mental Health Nurse Practitioner in Saint Clair Shores, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

25401 Harper Ave Ste 2
Saint Clair Shores, MI 48081-2248
Phone: (586) 469-6912
Show map & directions

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

Additional practice locations (1)

  • 1305 E Eighth St Ste B, Traverse City, MI 49686-2981 — (231) 922-9625

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704307001 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704307001 (MI)

Record details

NPI number1174922884
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2014
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

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