JANNATUL FARDAWSY
NPI 1821674540
Nurse Practitioner in Hamtramck, MI

Active since March 23, 2021
9632 CONANT ST, HAMTRAMCK, MI 48212(313) 871-1912 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2021, Mar 25, 2021 (2 updates tracked since 2021).

About Jannatul Fardawsy NPPES

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

JANNATUL FARDAWSY (NPI 1821674540) is an individual nurse practitioner in Hamtramck, Michigan, licensed in Michigan (4704328478) and active in the NPI registry since March 2021. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821674540
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANNATUL FARDAWSY
Location Address9632 CONANT STHamtramck, MI 48212-3305
Mailing Address9632 Conant StHamtramck, MI 48212-3305 · (313) 871-1912
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
NPI 1821674540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in MI · 4704328478 Licensed in MI · F12200115
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704328478 (MI), F12200115 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License F12200115 (MI)
9632 CONANT ST, Hamtramck, MI 48212

Secondary Practice Locations 2

Location 127122 Dequindre RdWarren, MI 48092-3537 · Phone (586) 393-5922
Location 22627 Holbrook StHamtramck, MI 48212-3480 · Phone (313) 308-2501

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

General Practice
9632 CONANT ST
HAMTRAMCK, MI 48212
Nurse Practitioner
9632 CONANT ST
HAMTRAMCK, MI 48212
Clinic/Center (Primary Care)
9632 CONANT ST
HAMTRAMCK, MI 48212
Nurse Practitioner (Family)
9632 CONANT ST
HAMTRAMCK, MI 48212
Physician Assistant
9632 CONANT ST
HAMTRAMCK, MI 48212
Specialist
9632 CONANT ST
HAMTRAMCK, MI 48212

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 Jannatul Fardawsy's NPI number?

The NPI number for Jannatul Fardawsy is 1821674540. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Jannatul Fardawsy located?

Jannatul Fardawsy practices at 9632 Conant St, Hamtramck, MI 48212. The listed phone number is (313) 871-1912.

What is Jannatul Fardawsy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Jannatul Fardawsy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jannatul Fardawsy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jannatul Fardawsy was last updated on August 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.