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

Jessica Anne Wahby, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1700564325

Jessica Anne Wahby, FNP-BC is a Nurse Practitioner in Southfield, Michigan. Qualified in 2023, 3 years ago. Practices with Michigan Kidney Consultants PC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

22250 Providence Dr Ste 406
Southfield, MI 48075-6212
Phone: (248) 557-9010
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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 4704334199 (MI)

Record details

NPI number1700564325
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 5, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Michigan Kidney Consultants Pc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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