JASPER MUKWADA


Address: 601 John St, Box 74, Kalamazoo, MI 49007-5341
Phone: 2693418481

JASPER MUKWADA (NPI# 1558815787) 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) 1558815787
Entity Type Individual
Full Name JASPER MUKWADA
Credential FNP
Practice Address 601 John St
Box 74
Kalamazoo
MI 49007-5341
Practice Telephone 2693418481
Practice Fax Number 2693417781
Mailing Telephone 2693418481
Mailing Fax Number 2693417781
Enumeration Date 2016-08-04
Last Update Date 2019-01-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
71008591A IN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
4704274083 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 601 JOHN ST
BOX 74
City KALAMAZOO
State MI
Zip Code 49007-5341

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134122757 Joan K. Slager Advanced Practice Midwife 601 John St, Ste N-1200, Kalamazoo, MI 49007-5341 2005-05-27
1841898780 Alexandra Marie Christmas Physician Assistant 601 John St, Kalamazoo, MI 49007-5341 2020-10-13
1003423237 Ochuko Andrew Oghor Student in an Organized Health Care Education/Training Program 601 John St, Kalamazoo, MI 49007-5341 2020-10-01
1710591680 Marshe Suderman Nurse Practitioner 601 John St, Kalamazoo, MI 49007-5341 2020-09-08
1609485481 Kristy Lynn Mumby Nurse Practitioner 601 John St, Kalamazoo, MI 49007-5341 2020-07-28
1407475700 Bethany Hodges Dietitian, Registered 601 John St, Kalamazoo, MI 49007-5341 2020-04-16
1760031157 Michael Nestorak Emergency Medicine 601 John St, Kalamazoo, MI 49007-5341 2019-09-09
1639728272 James Michael Curtis Pharmacist 601 John St, Kalamazoo, MI 49007-5341 2019-09-06
1538716451 Sheri Jones Physical Therapist 601 John St, Kalamazoo, MI 49007-5341 2019-08-26
1790332658 Jill Marie Woodhams Occupational Therapist 601 John St, Kalamazoo, MI 49007-5341 2019-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881248342 Whitney Kiel Pharmacist 601 John Street Suite M-020, Kalamazoo, MI 49007 2019-08-01
1316591571 Laura Jedele Physical Therapist Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 2019-07-26
1992209084 Yvonne Marie Heltzel Behavior Technician 1826 N Rose St, Kalamazoo, MI 49007 2018-03-22
1396263943 Travis Todd Turrell Physician Assistant 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 2017-09-05
1619493186 Sarah Zuspann Nurse Practitioner 601 John Street, Suite 100, Kalamazoo, MI 49007 2017-08-16
1720529779 Dannison Psychologist 604 S Rose St, Kalamazoo, MI 49007 2017-03-10
1265988901 Calee Dieleman Social Worker 610 South Burdick, Kalamazoo, MI 49007 2016-09-01
1508313099 Arriel Julia Ampey Social Worker 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 2016-09-01
1043662745 Holloway Marston Psychologist 717 W South St, Apt. #6, Kalamazoo, MI 49007 2016-07-06
1205280062 Bronson At Home Home Health 601 John St Ste M-431, Kalamazoo, MI 49007 2016-04-19
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609485481 Kristy Lynn Mumby Nurse Practitioner 601 John St, Kalamazoo, MI 49007-5341 2020-07-28
1316411333 Joseph Anthony Nuncio Nurse Practitioner 629 Pioneer St, Kalamazoo, MI 49008 2019-01-12
1376078782 Kristen Degroff Nurse Practitioner 601 John St, Kalamazoo, MI 49007-5341 2017-04-23
1548703481 Thomas Jeffery Webb II Nurse Practitioner 1717 Shaffer St Ste 124, Kalamazoo, MI 49048-1629 2016-11-27
1023484235 Daniel Hodge Nurse Practitioner 117 W Paterson St, Kalamazoo, MI 49007-2557 2015-08-12

Providers in the same taxonomy and state

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
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Competitor

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City KALAMAZOO
Zip Code 49007

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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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