Provider Demographics
NPI:1255977906
Name:SKENDER, ABBY JO (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ABBY
Middle Name:JO
Last Name:SKENDER
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:MS
Other - First Name:ABBY
Other - Middle Name:JO
Other - Last Name:AGUINAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN, PMHNP-BC
Mailing Address - Street 1:42815 GARFIELD RD STE 210
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1143
Mailing Address - Country:US
Mailing Address - Phone:586-846-4835
Mailing Address - Fax:
Practice Address - Street 1:42815 GARFIELD RD STE 210
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-1143
Practice Address - Country:US
Practice Address - Phone:586-846-4835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-18
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704317555163W00000X
MI4704317555NSA22036363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse