MRS. PRAISY JACOB (NPI# 1104371020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104371020 |
| Entity Type | Individual |
| Full Name | MRS. PRAISY JACOB |
| Other Name | PRAISY SAMUEL |
| Credential | FNP-BC |
| Practice Address |
50861 Nesting Ridge Dr Macomb MI 48044-1385 |
| Practice Telephone | 5867649892 |
| Mailing Telephone | 5867649892 |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2016-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704281141 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
50861 NESTING RIDGE DR |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714262 | Kendra Khan | Nurse Practitioner | 47340 Savannah Dr, Macomb, MI 48044-2795 | 2020-03-04 |
| 1225661267 | Michelle Kelli Thomas | Nurse Practitioner | 48221 Farah Dr, Macomb, MI 48044-2010 | 2020-02-18 |
| 1609424506 | Carla E Butcher | Nurse Practitioner | 51538 Silver Bell Dr, Macomb, MI 48042-4348 | 2019-09-04 |
| 1972162337 | Karla Ostaszewski | Nurse Practitioner | 48153 Virginia Dr, Macomb, MI 48044-4906 | 2019-06-10 |
| 1962960518 | Matthew Thomas Maraman | Nurse Practitioner | 23572 Shepherd Ln, Macomb, MI 48042-5517 | 2019-03-03 |
| 1861957383 | John Mrachina | Nurse Practitioner | 19612 Hudson River Dr, Macomb, MI 48044-4242 | 2019-02-08 |
| 1942765680 | Trinia Ann Nappo | Nurse Practitioner | 49195 Deneweth Farms Dr, Macomb, MI 48044-1553 | 2019-02-06 |
| 1558833632 | Carol Hilliker | Nurse Practitioner | 46326 Sawyer Ln, Macomb, MI 48044-6218 | 2018-12-29 |
| 1295249951 | Quinnkeela L Nash-el | Nurse Practitioner | 21360 John Dr, Macomb, MI 48044-6405 | 2017-11-16 |
| 1841724929 | Myla Guangco Bacalso | Nurse Practitioner | 50083 Margaret Ave, Macomb, MI 48044-6340 | 2017-04-17 |
| Find all providers in MACOMB | ||||
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| 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.