JIHAN TOOTLA NPI 1396539805

NPI Information

  • NPI: 1396539805
  • Provider Name: JIHAN TOOTLA
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3990 JOHN R ST
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 745-8040

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NPI Details

Jihan Tootla is an acute care nurse practitioner in Detroit, MI with 2 years of experience. Jihan Tootla NPI is 1396539805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3990 JOHN R ST
DETROIT, MI
ZIP 48201-097
Phone: (313) 745-8040

The NPI 1396539805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2025 and was last updated on 6/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine4704280195MICHIGANNo
2363LA2100XNurse PractitionerAcute Care4704280195MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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