JENNIFER RENEE JACOBS (NPI# 1083212245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083212245 |
| Entity Type | Individual |
| Full Name | JENNIFER RENEE JACOBS |
| Other Name | JENNIFER RENEE HATHAWAY |
| Practice Address |
4118 Kalamazoo Ave Se Grand Rapids MI 49508-3605 |
| Mailing Address |
7947 Engelhurst Dr Jenison MI 49428-8552 |
| Practice Telephone | 6164557300 |
| Mailing Telephone | 6159625587 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704223098 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1609392257 | Jennifer Michelle Jacobs | Speech-Language Pathologist | 7603 Moondance Ln, Houston, TX 77071-2621 | 2017-08-16 |
| 1003263294 | Jennifer M.b. Jacobs | Social Worker | 27 W. 86th St., Suite 1c, New York, NY 10024 | 2016-05-18 |
| 1053726091 | Jennifer Jacobs | Occupational Therapy Assistant | 905 E Sherman St, Hutchinson, KS 67501-3060 | 2014-06-28 |
| 1558620666 | Jennifer Janiece Jacobs | Licensed Practical Nurse | 1897 Staunton Rd, Cleveland Hts, OH 44118-2236 | 2012-05-09 |
| 1184982399 | Jennifer M Jacobs | Licensed Practical Nurse | 617 Coshocton Ave, Mount Vernon, OH 43050-2637 | 2012-04-25 |
| 1811195837 | Jennifer E Jacobs | Podiatrist | 1747 Langford Dr Bldg 400-102, Watkinsville, GA 30677-7370 | 2007-07-11 |
| 1366554826 | Jennifer Marie Jacobs | Optometrist | 408 W Mondamin St, Minooka, IL 60447-9875 | 2006-08-31 |
| 1326662354 | Jennifer Erin Jacobs | Speech-Language Pathologist | 420 S Washington St, Papillion, NE 68046-2667 | 2020-06-05 |
| 1437782083 | Jennifer Jacobs | Social Worker | 1000 Hospital Rd, Waynesville, MO 65583-2634 | 2020-02-21 |
| Street Address |
4118 KALAMAZOO AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750365532 | Spectrum Health Continuing Care | Nursing Facility/Intermediate Care Facility | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2005-12-05 |
| 1740750546 | Amy Elizabeth Sanders | Nurse Practitioner | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-12-05 |
| 1639672512 | Marianne Mullins-macritchie | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-16 |
| 1346743465 | Jillian Lee Bartsch | Occupational Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-15 |
| 1609379882 | Nermin Soliman | Occupational Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-14 |
| 1396248597 | Lori Lee Bultinck | Occupational Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-14 |
| 1255834479 | Kari Ondersma | Occupational Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-14 |
| 1538662150 | Kristin Lousise Vanderark | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-09 |
| 1124520887 | Katie Marie Yates | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-08 |
| 1407359169 | Angela Hecksel | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1811437817 | Embree Embracing Quality Care 'at Your Front Door' | Nurse Practitioner | 1735 Woodward Ave Se, Grand Rapids, MI 49506-4531 | 2017-02-24 |
| 1295083152 | Joanne P Sherwood | Nurse Practitioner | 703 Ball Ave, Grand Rapids, MI 49506 | 2012-08-27 |
| 1831416478 | Cheryl A Sisco | Nurse Practitioner | 200 Jefferson Ave., Grand Rapids, MI 49503 | 2010-04-21 |
| 1063742518 | Joanne Lois Jepsen | Nurse Practitioner | 2100 Raybrook Ave Se, Suite 300, Grand Rapids, MI 49546 | 2010-01-06 |
| 1356571749 | Cathleen Suzanne Bouwsma | Nurse Practitioner | 250 Fuller Ave Se, Grand Rapids, MI 49506-1675 | 2009-07-20 |
| 1497828214 | Jacob William Turmell | Nurse Practitioner | 2774 Birchcrest Dr Se, Grand Rapids, MI 49506 | 2006-11-17 |
| 1285666701 | Sarah Anne Akers | Nurse Practitioner | 25 Michigan St Ne Ste 2100, Grand Rapids, MI 49503-2526 | 2006-07-07 |
| 1992215768 | Heather Metz | Nurse Practitioner | 710 Kenmoor Ave Se Ste 200, Grand Rapids, MI 49546-2379 | 2017-10-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
Please comment or provide details below to improve the information on JENNIFER RENEE JACOBS.
| 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.