Basic Information
Provider Information
NPI: 1194985143
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELMAN
FirstName: JENNIFER
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: MSN, CPNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 3621 SOUTH STATE STREET
Address2: 700 KMS PLACE
City: ANN ARBOR
State: MI
PostalCode: 48108
CountryCode: US
TelephoneNumber: 7349362047
FaxNumber:  
Practice Location
Address1: 1500 EAST MEDICAL CENTER DRIVE
Address2: 5TH FLOOR CS MOTT CHILDRENS HOSPITAL
City: ANN ARBOR
State: MI
PostalCode: 481094241
CountryCode: US
TelephoneNumber: 7349365780
FaxNumber: 7346473291
Other Information
ProviderEnumerationDate: 06/12/2008
LastUpdateDate: 04/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X4704295872MIY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LP0200X71002267AINN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
363LP0222X71002267AINN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care

No ID Information.


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