Jennifer Modina Roque is a Detroit, Michigan based nurse anesthetist with 7 years of experience as Nurse Anesthetist. She completed she graduation from Wayne State University School Of Medicine in 2018. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer Modina Roque is 4704231669 for Anesthesia Administration in Michigan. Her current practice location is 22101 Moross, Detroit. Patients can reach her at 313-343-4370. Jennifer Modina Roque is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1134601586. Jennifer Modina Roque is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jennifer Modina Roque speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
7+ years
Medical School Attended:
Wayne State University School Of Medicine
Graduation Year:
2018
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
22101 Moross, Detroit, Michigan, 48236
Phone:
313-343-4370
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5698028074
Enrollment ID:
I20181101001372
NPI Number:
1134601586
NPI Enumeration Date:
02 Sep, 2018
NPI Last Update On:
12 Oct, 2018
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Modina Roque are as mentioned below.
License Number
Specialization
State
Status
4704231669
Anesthesia Administration
Michigan
Primary
4704231669
Registered Nurse
Michigan
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ascension St John Hospital (230165)
Detroit, MI
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jennifer Modina Roque has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
St John Hospital And Medical Center (3173424082)
312
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
34841 Fontana Drive, Sterling Heights, Michigan
Zip:
48312
Phone Number:
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Fax Number:
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Patients can reach Jennifer Modina Roque at 22101 Moross, Detroit, Michigan or can call to book an appointment on 313-343-4370.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.