Active NPI
Jenna Pepper, NP
- Nurse Practitioner
- Troy, MI
National Provider Identifier
1417865429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704362215
- Practice address
- 4060 Rochester Rd
Troy, MI 48085-4923 - Phone
- (248) 250-6420
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704362215 | MI | Primary |
Addresses
Primary practice location
4060 Rochester Rd
Troy, MI 48085-4923
Mailing address
14671 Telegraph Rd
Redford, MI 48239-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1417865429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14671 TELEGRAPH RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482393300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 ROCHESTER RD",
"city": "TROY",
"state": "MI",
"postal_code": "480854923",
"telephone_number": "248-250-6420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "JENNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704362215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.