Brantley Scott Jezak, RN

NPI #1669291506 in Redford, Michigan

Provider Information

NPI Number: 1669291506
Entity Type: Individual
Name: Brantley Scott Jezak, RN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Oct 8, 2024
Last Updated: Oct 8, 2024

Practice Location

Address: 9315 TELEGRAPH RD
City: Redford
State: Michigan
ZIP Code: 48239-1260
Phone: (313) 450-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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