Provider Demographics
NPI:1144632761
Name:SLEIGHT, JENIFER NOEL (DNP)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:NOEL
Last Name:SLEIGHT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:JENIFER
Other - Middle Name:NOEL
Other - Last Name:ROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1627 LAKE LANSING RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3788
Mailing Address - Country:US
Mailing Address - Phone:517-485-1789
Mailing Address - Fax:
Practice Address - Street 1:1627 LAKE LANSING RD STE 200
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3788
Practice Address - Country:US
Practice Address - Phone:517-485-1789
Practice Address - Fax:517-485-2357
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704259692363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care