JERRY GORDON CARNOVSKY RN
NPI 1174152789
Registered Nurse in Royal Oak, MI

Active since April 06, 2020
28000 WOODWARD AVE STE 100, ROYAL OAK, MI 48067(248) 395-3777 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerry Gordon Carnovsky Rn NPPES

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

JERRY GORDON CARNOVSKY RN (NPI 1174152789) is an individual registered nurse in Royal Oak, Michigan, licensed in Michigan (4704185415) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1174152789
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameJERRY GORDON CARNOVSKYCredential: RN
Location Address28000 WOODWARD AVE STE 100Royal Oak, MI 48067-0961
Mailing Address28000 Woodward Ave Ste 100Royal Oak, MI 48067-0961 · (248) 395-3777
Sole ProprietorYes
Enumeration DateApril 6, 2020
NPPES CertifiedApril 6, 2020
NPI 1174152789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MI · 4704185415
Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

28000 WOODWARD AVE STE 100, Royal Oak, MI 48067

Other Identifiers 1

Medicaid4704185415MI

Other Providers at the Same Location NPPES 18

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

Home Health
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Social Worker (Clinical)
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Behavior Analyst
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Behavior Analyst
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067
Behavior Technician
28000 WOODWARD AVE STE 100
ROYAL OAK, MI 48067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174152789, enumerated as an "individual" on April 06, 2020.

The provider is located at 28000 WOODWARD AVE STE 100 ROYAL OAK, MI 48067 and the phone number is (248) 395-3777.

Registered Nurse with taxonomy code 163W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.