IndividualActive
Jyothi Nutakki, MD
NPI 1235240359 · Child & Adolescent Psychiatry Physician · Grand Blanc, MI
Provider details
- NPI number
- 1235240359
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301069608 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
8435 Holly Rd
Grand Blanc, MI 48439-1812
Phone: (810) 424-2400
Fax: (810) 579-7222
Approximate (ZIP-level) locationGet directions
Mailing address
3495 S Center Rd
Burton, MI 48519-1455
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.