Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Nicole Humphrey, PA-C

Individual provider Surgical Physician Assistant · NPI 1083865398

Jessica Nicole Humphrey, PA-C is a Surgical Physician Assistant in Redford Twp, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15540 Beech Daly Rd Midwest Urgent Care
Redford Twp, MI 48239
Phone: (313) 592-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601005400 (MI)

Record details

NPI number1083865398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 6, 2008
Last updated in NPPESNovember 24, 2014