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

Jerry Gordon Carnovsky, RN

Individual provider Registered Nurse · NPI 1174152789

Jerry Gordon Carnovsky, RN is a Registered Nurse in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

28000 Woodward Ave Ste 100
Royal Oak, MI 48067-0961
Phone: (248) 395-3777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704185415 (MI)

Record details

NPI number1174152789
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address28000 Woodward Ave Ste 100, Royal Oak, MI 48067-0961

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