MS. JESSICA ANN MALHOTRA FNP-C
NPI 1205690690
Nurse Practitioner - Family in Detroit, MI

Active since February 07, 2024
17330 GREYDALE AVE, DETROIT, MI 48219(855) 445-4554 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jessica Ann Malhotra Fnp-c NPPES

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

MS. JESSICA ANN MALHOTRA FNP-C (NPI 1205690690) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704217456NSA230P5) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1205690690
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JESSICA ANN MALHOTRACredential: FNP-C
Location Address17330 GREYDALE AVEDetroit, MI 48219-3248
Mailing Address2532 Beachview CtTroy, MI 48098-4203 · (586) 381-3070
Sole ProprietorNo
Enumeration DateFebruary 7, 2024
NPPES CertifiedFebruary 7, 2024
NPI 1205690690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704217456NSA230P5
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 4704217456 (MI)
17330 GREYDALE AVE, Detroit, MI 48219

Other Providers at the Same Location NPPES 2

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

Pharmacy Technician
17330 GREYDALE AVE
DETROIT, MI 48219
Pharmacy Technician
17330 GREYDALE AVE
DETROIT, MI 48219

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 Malhotra's NPI number?

The NPI number for Jessica Malhotra is 1205690690. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Where is Jessica Malhotra located?

Jessica Malhotra practices at 17330 Greydale Ave, Detroit, MI 48219. The listed phone number is (855) 445-4554.

What is Jessica Malhotra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jessica Malhotra was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.