JENNIFER SAM


Address: 620 W Kalama Ave, Madison Heights, MI 48071-3952
Phone: 2482251959

JENNIFER SAM (NPI# 1336405059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336405059
Entity Type Individual
Full Name JENNIFER SAM
Practice Address 620 W Kalama Ave
Madison Heights
MI 48071-3952
Practice Telephone 2482251959
Mailing Telephone 2482251959
Enumeration Date 2012-04-06
Last Update Date 2012-04-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
4704248128 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 620 W KALAMA AVE
City MADISON HEIGHTS
State MI
Zip Code 48071-3952

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1861974297 Olubunmi Oluremi Aluko Physical Therapist 1410 E.14 Mile Road, Madison Heights, MI 48071 2018-09-01
1558859579 Leslie G Lafer, Dopllc Obstetrics & Gynecology 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 2018-04-25
1588161020 Daniel Eugene Geer Physical Therapist 1410 E 14 Mile Road, Madison Heights, MI 48071 2018-04-11
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043874373 Emily Snethkamp Nurse Practitioner 28225 Townley St, Madison Heights, MI 48071-2846 2019-04-22
1609414473 Ruth Grace Garcia Sayas Nurse Practitioner 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2019-12-12
1588186118 Kristine Kay Hay Nurse Practitioner 1385 E 12 Mile Rd, Madison Heights, MI 48071 2017-07-14
1841662863 Dayna Marie Gjurovski Nurse Practitioner 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2015-10-29
1003288226 Lisa Marie Wargo Nurse Practitioner 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2015-10-27
1225372584 Erin Michele Dzeroogian Nurse Practitioner 27351 Dequindre Rd, Madison Heights, MI 48071 2012-11-26
1487701819 Denise Ann Robertson Nurse Practitioner 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2007-01-05
1831289388 Jeanne Marie Pyonk Nurse Practitioner 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2006-10-13

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1447872965 Gagan Preet Kaur Dhaliwal Nurse Practitioner 45418 Glengarry Blvd, Canton, MI 48188-3001 2020-05-07
1023637766 Jbnp Services, LLC Nurse Practitioner 19520 Parker St, Livonia, MI 48152-1579 2020-04-13
1912536137 Mary Bailey Nurse Practitioner 8254 Twin Creek Cir, Temperance, MI 48182-8202 2020-04-08
1679108500 Jennifer Ann Rutzen Nurse Practitioner 5802 Montebello Ave, Haslett, MI 48840-8208 2020-03-11
1871126813 Gregory M Ali Nurse Practitioner 26750 Providence Pkwy Ste 120, Novi, MI 48374-1211 2020-02-18
1730712969 Anthony Joseph Jurecic Nurse Practitioner 2382 Us 41 W, Marquette, MI 49855-2456 2020-02-17
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Competitor

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City MADISON HEIGHTS
Zip Code 48071

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Dataset Information

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.

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