DR. FELICIA JADE DROUILLARD MD NPI 1083103600

NPI Information

NPI: 1083103600
Provider Name: DR. FELICIA JADE DROUILLARD, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 22201 MOROSS RD STE 370
DETROIT, MI
ZIP 48236
Phone: (313) 343-4585

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NPI Details

DR. Felicia Jade Drouillard, MD is an obstetrics gynecology in Detroit, MI with 7 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Felicia Jade Drouillard, MD NPI is 1083103600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2018

The provider's business location address is:

22201 MOROSS RD STE 370
DETROIT, MI
ZIP 48236
Phone: (313) 343-4585
Fax: (313) 343-7126

The NPI 1083103600 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 5/9/2018 and was last updated on 3/23/2022.

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	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	4301114489	MICHIGAN	No
2	390200000X	Student in an Organized Health Care Education/Training Program	4301114489	MICHIGAN	No
3	207V00000X	Obstetrics & Gynecology	4301506354	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205556884	MEDICAID	MICHIGAN

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: 3/30/2025

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