JOMY JOSE


Address: 25719 Salem St, Roseville, MI 48066
Phone: 5863501466

JOMY JOSE (NPI# 1558911842) 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) 1558911842
Entity Type Individual
Full Name JOMY JOSE
Credential NP
Practice Address 25719 Salem St
Roseville
MI 48066
Practice Telephone 5863501466
Mailing Telephone 5863501466
Enumeration Date 2019-09-18
Last Update Date 2019-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
4704296097 MI Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOMY JOSE

NPI Name Taxonomy Address Enumeration
1629613682 Jomy Jose Nurse Practitioner 2405 Stonewall St, Greenville, TX 75401-3349 2019-11-14

Office Location

Street Address 25719 SALEM ST
City ROSEVILLE
State MI
Zip Code 48066

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
1497997928 David Paul Caplan Optometrist 31720 Gratiot Ave., Roseville, MI 48066 2009-03-30
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235167503 Lori L Kelly Nurse Practitioner 2845 Hamline Ave North, Roseville, MN 55113 2006-06-28
1568929115 Brandi Reilly Nurse Practitioner 2845 Hamline Ave N, Roseville, MN 55113-7127 2019-03-01
1790289064 Annika Peterson Nurse Practitioner 2845 Hamline Ave N, Roseville, MN 55113-7127 2018-03-21
1407357122 Jamie Inhoff Nurse Practitioner 2845 Hamline Ave N, Roseville, MN 55113-7127 2018-02-27
1114316163 Judith Ann Ogren Nurse Practitioner 25810 Kelly Rd, Ste 3, Roseville, MI 48066-4467 2015-01-14
1962832089 Agnes Gitau Nurse Practitioner 3001 Douglas Blvd, Suite 150, Roseville, CA 95661-3851 2013-11-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942800768 Yuri L Guzman Nurse Practitioner 795 N Ford Blvd, Ypsilanti, MI 48198-4116 2020-10-30
1144830803 Robert Eugene Scribner IIi Nurse Practitioner 13913 Toepfer Rd, Warren, MI 48089-5842 2020-08-06
1124644661 Denika Leflora Dalton Nurse Practitioner 5260 Fairway Trl, Grand Blanc, MI 48439-9445 2020-06-21
1780206995 Jennifer Kay Marino Nurse Practitioner 20407 Mauer St, Saint Clair Shores, MI 48080-3789 2020-05-11
1720621709 Kelsey Nicole Kloosterman Nurse Practitioner Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 2019-10-23
1306318498 Ashley Marie Jacobson Nurse Practitioner 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 2018-12-30
1568931673 Jennifer Lavigne Nurse Practitioner 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 2018-11-19
1134694292 Sheryl Ann Newton Nurse Practitioner 810 W South St, Kalamazoo, MI 49007-4601 2018-10-04
1386123180 Alison M Sesock Nurse Practitioner 5202 Miller Rd Ste B, Flint, MI 48507-1040 2018-08-13
1851886220 Laura Maclam Nurse Practitioner 524 Marywood Dr Ne, Grand Rapids, MI 49505-4149 2018-06-27
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Competitor

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City ROSEVILLE
Zip Code 48066

Improve Information

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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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