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

Jisha Dudeesh, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1902356272

Jisha Dudeesh, CNP is a Nurse Practitioner in Pontiac, Michigan. Qualified in 2015, 11 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

44555 Woodward Ave
Pontiac, MI 48341
Phone: (248) 858-6104
Show map & directions

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

Additional practice locations (1)

  • 6777 W Maple Rd, West Bloomfield, MI 48322-3013 — (313) 622-1380

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704256647 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704256647 (MI)

Record details

NPI number1902356272
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 10, 2016
Last updated in NPPESDecember 13, 2024
Mailing address24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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