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

MS. Jae Berry, RN

Individual provider Phlebology Physician · NPI 1639040413

MS. Jae Berry, RN is a Phlebology Physician in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

100 Riverfront Dr Apt 1606
Detroit, MI 48226-4539
Phone: (313) 444-3489
Fax: (586) 408-6000
Show map & directions

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

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 4704403446 (MI)
Phlebology Physician Taxonomy 202K00000X · Licence 4704403446 (MI)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence 4704403446 (MI)

Record details

NPI number1639040413
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing address100 Riverfront Dr Apt 1606, Detroit, MI 48226-4539

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