NPI
Jacquelyn Elyoussef
NPI 1558811331
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2016-10-05
- Last updated
- 2018-07-19
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Specialties
Licenses
- License MI
- e421356080673
Location
- Practice location
- 3930 Academy St
- City
- Dearborn Heights MI
- Postal code
- 48125
- Phone
- (313) 804-1888
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other Technicians in Dearborn Heights, MI. 17 with this primary taxonomy in the public file.
Other NPIs in Dearborn Heights, MI. 1,127 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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