Provider Demographics
NPI:1538910765
Name:ESEKA, JENNAH (FNP-C)
Entity type:Individual
Prefix:
First Name:JENNAH
Middle Name:
Last Name:ESEKA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JENNAH
Other - Middle Name:
Other - Last Name:SAILOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2073 AURELIUS RD
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1331
Mailing Address - Country:US
Mailing Address - Phone:517-694-1466
Mailing Address - Fax:
Practice Address - Street 1:2073 AURELIUS RD
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1331
Practice Address - Country:US
Practice Address - Phone:517-694-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704302217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily