Julia Jackson , FNP-BC
Nurse Practitioner • Troy, MI
4640 Mill Pond Dr
Troy, MI 480853782
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 29, 2021; this date does not establish years in practice.
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Published CMS data list 584 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99310 — Subsequent nursing facility care with high level of medical decision making, per day: 182 service units.
- 90792 — Psychiatric diagnostic evaluation with medical services: 141 service units.
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 128 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 613 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Quetiapine Fumarate — 106 prescription fills, including refills.
- Sertraline Hcl — 78 prescription fills, including refills.
- Mirtazapine — 69 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Troy, MI (2024, 23 clinicians with data). Median for this group: 152. Middle half: 51 to 490.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: 167. Middle half: 69 to 368.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 18 in 2023 to 584 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023–2024.
Practice Location & Contact Primary Location
4640 Mill Pond Dr
Troy, MI 480853782
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
265 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $73,313 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $57,765 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
624 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$136,959 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2023
All general payments: $1,035.65 across 58 records.
By nature of payment
- Food and Beverage: $1,035.65 across 58 records.
Reporting-company totals (3 largest of 16)
- Neurocrine BioSciences, Inc.: $224.58 across 12 records.
- Teva Pharmaceuticals USA, Inc.: $194.08 across 12 records.
- Bristol Myers Squibb Company: $171.34 across 11 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
NPI first issued
2021
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Julia Jackson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Julia Jackson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Troy and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Troy, MI (2024, 23 clinicians with data). Median for this group: 152. Middle half: 51 to 490.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: 167. Middle half: 69 to 368.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Troy, MI (2024, 23 clinicians with data). Median for this group: $12,212. Middle half: $4,374 to $33,033.
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: $13,264. Middle half: $5,488 to $26,831.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Troy, MI (2024, 23 clinicians with data). Median for this group: $9,681. Middle half: $3,485 to $24,109.
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: $9,814. Middle half: $4,035 to $19,683.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Troy, MI (2024, 25 clinicians with data). Median for this group: 263. Middle half: 40 to 1,144.
Close to the middle for clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: 360. Middle half: 97 to 1,478.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Troy, MI (2024, 25 clinicians with data). Median for this group: $19,055. Middle half: $524 to $112,382.
A higher Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: $24,697. Middle half: $1,472 to $176,540.
76 active clinicians are listed under Nurse Practitioner with a practice address in Troy, MI (3,576 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Troy
13.2% of these 76 clinicians have the CMS telehealth indicator.
43.4% of these 76 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 18 in 2023 to 584 in 2024.
- 2023: 18
- 2024: 584
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Medicare-allowed amount
Medicare-allowed amount increased 3613% from $1,974 in 2023 to $73,313 in 2024.
- 2023: $1,974
- 2024: $73,313
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Paid by Medicare
Paid by Medicare increased 3572% from $1,573 in 2023 to $57,765 in 2024.
- 2023: $1,573
- 2024: $57,765
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 281% from 161 in 2023 to 613 in 2024.
- 2023: 161
- 2024: 613
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30-day fills
30-day fills increased 83% from 342 in 2023 to 624 in 2024.
- 2023: 342
- 2024: 624
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Part D drug cost
Part D drug cost increased 2984% from $4,441 in 2023 to $136,959 in 2024.
- 2023: $4,441
- 2024: $136,959
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $772.46 in 2022 to $1,035.65 in 2023.
- 2022: $772.46
- 2023: $1,035.65
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): 58 records totaling $1,035.65.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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Austedo XR | General | $32.54 |
| Takeda Pharmaceuticals U.S.A., Inc. |
Food and Beverage
In-kind items and services
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GAMMAGARD | General | $31.36 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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Austedo XR | General | $28.72 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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Austedo XR | General | $27.47 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ZEPOSIA | General | $27.35 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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AUBAGIO | General | $26.94 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ZEPOSIA | General | $26.63 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $26.50 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $26.43 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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AUBAGIO | General | $25.84 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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AUBAGIO | General | $25.52 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $23.61 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $23.51 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ZEPOSIA | General | $22.59 |
| AIMMUNE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
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VOWST | General | $22.39 |
| Bristol Myers Squibb Company |
Food and Beverage
Cash or cash equivalent
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ZEPOSIA | General | $22.33 |
| Teva Pharmaceuticals USA, Inc. |
Food and Beverage
In-kind items and services
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Austedo XR | General | $22.14 |
| UCB, Inc. |
Food and Beverage
In-kind items and services
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Fintepla | General | $21.56 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $21.28 |
| CSL Behring |
Food and Beverage
In-kind items and services
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Hizentra | General | $21.08 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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NUEDEXTA | General | $20.43 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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NUEDEXTA | General | $20.27 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $20.14 |
| Neurocrine BioSciences, Inc. |
Food and Beverage
In-kind items and services
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INGREZZA | General | $19.32 |
| Alnylam Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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ONPATTRO | General | $19.09 |
(top 25 shown)
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2023–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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182 | 106 | $300.00 | $131.15 |
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90792
Psychiatric diagnostic evaluation with medical services
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141 | 139 | $400.00 | $165.21 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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128 | 101 | $200.00 | $91.73 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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67 | 45 | $260.00 | $108.49 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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35 | 29 | $150.00 | $64.93 |
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99350
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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19 | 11 | $360.00 | $158.13 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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12 | 12 | $400.00 | $155.14 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Quetiapine Fumarate | Quetiapine Fumarate | 106 | 2,692 | $1,355.00 | 22 |
| Sertraline Hcl | Sertraline Hcl | 78 | 2,184 | $1,077.20 | 17 |
| Mirtazapine | Mirtazapine | 69 | 1,786 | $1,697.96 | 17 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 58 | 1,147 | $642.23 | — |
| Trazodone Hcl | Trazodone Hcl | 45 | 1,270 | $633.53 | 16 |
| Lorazepam | Lorazepam | 36 | 655 | $365.06 | 13 |
| Alprazolam | Alprazolam | 35 | 983 | $668.39 | — |
| Divalproex Sodium | Divalproex Sodium | 31 | 872 | $1,024.95 | 12 |
| Olanzapine | Olanzapine | 29 | 762 | $316.28 | — |
| Risperidone | Risperidone | 27 | 705 | $468.22 | — |
| Buspirone Hcl | Buspirone Hcl | 20 | 559 | $265.06 | — |
| Escitalopram Oxalate | Escitalopram Oxalate | 15 | 407 | $257.87 | — |
| Rexulti | Brexpiprazole | 15 | 204 | $18,560.66 | — |
| Ingrezza | Valbenazine Tosylate | 14 | 420 | $107,121.26 | — |
| Fluoxetine Hcl | Fluoxetine Hcl | 12 | 406 | $430.14 | — |
| Desvenlafaxine Succinate Er | Desvenlafaxine Succinate | 12 | 275 | $1,696.32 | — |
| Duloxetine Hcl | Duloxetine Hcl | 11 | 304 | $378.46 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-10-29NUCC Taxonomy Code: 363L00000X
(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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20220211001641
MI
7618360744
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated October 29, 2021.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from November 2021 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Troy
- Alexa Miller, NP
- Tracy Picmann, NP
- Patrycja Lubas, NP
- Francesca Qualls
- Kailey Arbaugh, AGNP-C
- Daizen Joseph- Chacko, NP
Mailing Address
4640 Mill Pond Dr
Troy, MI 480853782
Phone: 6154157522