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JESSICA NICOLE HUMPHREY PA-C
NPI 1083865398
Physician Assistant - Surgical in Redford Twp, MI

Active since October 06, 2008
15540 BEECH DALY RD, MIDWEST URGENT CARE, REDFORD TWP, MI 48239(313) 592-6330 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Nicole Humphrey Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NICOLE HUMPHREY PA-C (NPI 1083865398) is an individual surgical provider in Redford Twp, Michigan, licensed in Michigan (5601005400) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1083865398
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJESSICA NICOLE HUMPHREYCredential: PA-C
Location Address15540 BEECH DALY RD, MIDWEST URGENT CARERedford Twp, MI 48239
Mailing Address31360 Northwestern Hwy, Wendy Sadoff Md Dermatology PcFarmington Hills, MI 48334 · (248) 855-3300 · Fax (248) 855-3319
Phone(313) 592-6330
Sole ProprietorYes
Enumeration DateOctober 6, 2008
Last NPPES UpdateNovember 24, 2014
✔ NPI 1083865398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601005400
15540 BEECH DALY RD, Redford Twp, MI 48239
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Other Identifiers 1

Medicare UPINF25578MI

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDWEST URGENT CARE CENTER PC
Clinic/Center (Urgent Care)
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 592-6330
BRITTANY ERIN WOJNIAK OTR/L
Occupational Therapist
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 387-5253
MRS. IHTIRAM AHMED ALMASMARY M.D.
Family Medicine
15540 BEECH DALY RD, BOTSFORD MEDICAL CENTER-REDFORD
REDFORD, MI 48239
Wayne County (313) 387-5253
ANDREA COLLEEN NEWTON
Occupational Therapist
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 537-1110
SHAREFI M SALEH MD
Family Medicine
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 387-5253
MIDWEST URGENT CARE CENTER PC
Clinic/Center (Urgent Care)
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 592-6330
HARDIK R PATEL PT
Physical Therapist
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 537-1110
OAKWOOD AMBULATORY LLC
Internal Medicine
15540 BEECH DALY RD
REDFORD, MI 48239
Wayne County (313) 387-5253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Humphrey's NPI number?

The NPI number for Jessica Humphrey is 1083865398. It was assigned to this individual provider in the NPPES registry on October 6, 2008.

Where is Jessica Humphrey located?

Jessica Humphrey practices at 15540 Beech Daly Rd Midwest Urgent Care, Redford Twp, MI 48239. The listed phone number is (313) 592-6330.

What is Jessica Humphrey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jessica Humphrey was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.