JACKIE R GYOMORY

ROYAL OAK, MI
NPI1699075044
Former NameJACKIE BRAUN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704259474)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: PA  RN586505)
363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209.010429)
Enumeration Date2010-11-01
Last Update Date2022-07-29
Business Address
JACKIE R GYOMORY ACNP-BC
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
Mailing Address
JACKIE R GYOMORY ACNP-BC
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: