Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jamie Lynn Zucal, PA-C

Individual provider Physician Assistant · NPI 1104068386

Mrs. Jamie Lynn Zucal, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2001, 25 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2009
Specialties on file
2
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

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2698
Fax: (313) 916-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16001 W 9 Mile Rd # 3, Southfield, MI 48075-4818 — (248) 849-2600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003870 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601003870 (MI)

Record details

NPI number1104068386
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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