MRS. JENNY M BAUSANO (NPI# 1003475344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003475344 |
| Entity Type | Individual |
| Full Name | MRS. JENNY M BAUSANO |
| Credential | FNP |
| Practice Address |
945 9th St Lake Linden MI 49945-1100 |
| Mailing Address |
205 Pewabic St Laurium MI 49913-2111 |
| Practice Telephone | 9064831030 |
| Mailing Telephone | 9062810571 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704259562 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
945 9TH ST |
| City | LAKE LINDEN |
| State | MI |
| Zip Code | 49945-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811919251 | Thomas Mcconnon | Emergency Medicine | 945 9th St, Lake Linden, MI 49945-1100 | 2006-07-24 |
| 1154758167 | Portage Physician Practices Inc | Clinic/Center | 945 9th St, Lake Linden, MI 49945-1100 | 2013-10-04 |
| 1386970481 | Portage Health Inc. | Family Medicine | 945 9th St, Lake Linden, MI 49945-1100 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689037475 | Morgan Nicole Codere | Specialist/Technologist | 1200 Calumet St, Lake Linden, MI 49945 | 2016-03-30 |
| 1750495727 | Aspirus Keweenaw Enterprise | Pharmacy | 220 Calumet St, Lake Linden, MI 49945 | 2006-08-18 |
| 1740603885 | Upper Great Lakes Family Health Center | Clinic/Center | 945 Ninth Street, Lake Linden, MI 49945-1100 | 2014-01-25 |
| 1033413612 | Pieter Nieuwenhuis | Physical Therapist | 1310 Front St, Lake Linden, MI 49945-1220 | 2010-12-22 |
| 1538552005 | At Home Companions, Inc. | Home Health | 1150 Garden St, Lake Linden, MI 49945-1292 | 2015-03-09 |
| 1649320524 | Aspirus Keweenaw | Clinic/Center | 110 Calumet Street, Lake Linden, MI 49945-1308 | 2007-01-11 |
| 1356537310 | Bruce Robert Macdonald | Dentist | 207 Calumet St, Lake Linden, MI 49945-1309 | 2007-09-23 |
| 1477544567 | Marcella Elaine Fundum | Pharmacist | 220 Calumet St, Lake Linden, MI 49945-1310 | 2005-10-29 |
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1164544888 | Melissa Salani | Physician Assistant | 945 Ninth St., Lake Linden, MI 49945-1569 | 2007-04-04 |
| Find all providers in zip 49945 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE LINDEN |
| Zip Code | 49945 |
Please comment or provide details below to improve the information on MRS. JENNY M BAUSANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.