JANNATUL FARDAWSY
NPI 1821674540
Nurse Practitioner in Hamtramck, MI

Q: 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.

Q: What is Jannatul Fardawsy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jannatul Fardawsy was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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: August 16, 2026.

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

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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

Phone(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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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.

MOTAHAR HOSSAIN AHMED M.D.

General Practice