JENNI L POLFUS (NPI# 1548703218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548703218 |
Entity Type | Individual |
Full Name | JENNI L POLFUS |
Credential | NP |
Practice Address |
2845 Us 2 and 41 Bark River MI 49807 |
Practice Telephone | 9064662000 |
Mailing Telephone | 9064662000 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704292027 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2845 US 2 AND 41 |
City | BARK RIVER |
State | MI |
Zip Code | 49807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639188253 | Carolyn R Olson | Family Medicine | 2845 Us 2 and 41, Bark River, MI 49807-1929 | 2006-08-05 |
1568657336 | Dickinson County Healthcare System | Obstetrics & Gynecology | 2845 Us 2 and 41, Suite 203, Bark River, MI 49807 | 2007-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114416906 | Bellin Health Iron Mountain Inc | Clinic/Center | 2845 Highway Us2 and 41, Suite 202, Bark River, MI 49807 | 2018-05-07 |
1063669778 | Amber Joy Gustafson | Physician Assistant | 2845 Us 2 & 41, Suite 201, Bark River, MI 49807 | 2008-08-25 |
1114120201 | Dickinson County Healthcare System | Clinic/Center | 2845 Highway Us2 41, Suite 202, Bark River, MI 49807 | 2007-06-07 |
1316317415 | Dickinson County Healthcare System | Durable Medical Equipment & Medical Supplies | 2845 Us Highway 2/41 Ste 101, Bark River, MI 49807-9661 | 2015-10-01 |
1801805528 | Theodore Oswald | Family Medicine | 2845 Us Highway 2/41, Bark River, MI 49807-9661 | 2006-08-05 |
1194237313 | Tonja Trombley | Nurse Practitioner | 2845 Us Highway 2/41, Bark River, MI 49807-9661 | 2017-10-27 |
1841579828 | Clara Elizabeth Schultz | Nurse Practitioner | 2845 Us Highway 2/41, Bark River, MI 49807-9661 | 2011-08-09 |
1922315969 | Matthew Stephen Lefevre | Physician Assistant | 2845 Us Highway 2/41, Suite 201, Bark River, MI 49807-9661 | 2010-09-13 |
1629218607 | Stephanie Lynn Oswald | Social Worker | 2845 Us Highway 2/41, Suite 201, Bark River, MI 49807-9661 | 2009-03-03 |
1932249984 | Cedar Hill Medical PC | Physician Assistant | 2845 Us Highway 2/41, Suite 201, Bark River, MI 49807-9661 | 2007-02-07 |
Find all providers in zip 49807 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972084580 | Trisha Melissa Wickman | Nurse Practitioner | 2648 State Highway M35, Bark River, MI 49807-9727 | 2018-08-22 |
1194237313 | Tonja Trombley | Nurse Practitioner | 2845 Us Highway 2/41, Bark River, MI 49807-9661 | 2017-10-27 |
1841579828 | Clara Elizabeth Schultz | Nurse Practitioner | 2845 Us Highway 2/41, Bark River, MI 49807-9661 | 2011-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
Find all providers with the same taxonomy |
City | BARK RIVER |
Zip Code | 49807 |
Please comment or provide details below to improve the information on JENNI L POLFUS.
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.