Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Bourgon, MSN, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1851838809

Kristen Bourgon, MSN, AGPCNP-BC is an Adult Health Nurse Practitioner in Southfield, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
Specialties on file
4
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

21650 W 11 Mile Rd Ste 202
Southfield, MI 48076-3777
Phone: (248) 327-6196
Fax: (248) 327-6356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 236 Constitution St, Canton, MI 48188-6719 — (248) 672-2271

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704277091 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704277091 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 4704277091 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704277091 (MI)

Record details

NPI number1851838809
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGPCNP-BC
Sole proprietorYes
NPI enumeratedJanuary 30, 2017
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

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