JENNIFER L CONNELL (NPI# 1578881827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578881827 |
| Entity Type | Individual |
| Full Name | JENNIFER L CONNELL |
| Credential | NP |
| Practice Address |
3399 Pollock Rd Grand Blanc MI 48439-8395 |
| Practice Telephone | 8106030170 |
| Practice Fax Number | 8106032370 |
| Mailing Telephone | 8106030170 |
| Mailing Fax Number | 8105791705 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
470424233 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 470424233 | 01 |
| MI | BCBS STATE LICENSE | JC24233 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 S Linden Rd, Suite A, Flint, MI 485325475 | 8107330790 | 8107331817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689192692 | Jennifer Murray Connell | Social Worker | Penn State Psychological Clinic, Moore Building, 3rd Floor, University Park, PA 16802 | 2017-08-30 |
| 1225323637 | Jennifer Meek Connell | Dentist | 118 S Main St Ste 5, Dry Ridge, KY 41035-9436 | 2011-06-14 |
| 1164929485 | Jennifer Elise Connell | Behavior Technician | 811 San Ramon Valley Blvd Ste 100, Danville, CA 94526-4025 | 2018-04-12 |
| 1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
| 1720329832 | Jennifer Connell | Physical Therapist | 186 Summer St, Kingston, MA 02364-1282 | 2013-03-14 |
| 1881850980 | Jennifer Connell | Acupuncturist | 2917 Bryant Ave S, Suite 5, Minneapolis, MN 55408-2155 | 2008-07-29 |
| Street Address |
3399 POLLOCK RD |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812856 | Ramon Castro Raneses | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2005-12-15 |
| 1194092445 | Jennifer Ann Burchell | Nurse Practitioner | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2011-11-30 |
| 1164714184 | Genesys Regional Medical Center | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2011-05-10 |
| 1962634592 | Talha Idrees | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2009-08-15 |
| 1306006549 | Maria Victoria L. Smith | Nurse Practitioner | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2008-06-11 |
| 1710146725 | Daniel Brancheau | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8395 | 2008-06-04 |
| 1700071438 | Peggy Moore II | Nurse Practitioner | 3399 Pollock Rd, Grand Blanc, MI 48439-8393 | 2007-09-06 |
| 1356476212 | Linda K Ormond-matlock | Physician Assistant | 3399 Pollock Rd, Grand Blanc, MI 48439-8393 | 2007-02-22 |
| 1144322173 | Marcos Vargas | Physician Assistant | 3399 Pollock Rd, Grand Blanc, MI 48439-8393 | 2006-09-01 |
| 1912916115 | Gail Dawson | Internal Medicine | 3399 Pollock Rd, Grand Blanc, MI 48439-8393 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094755 | Kelcie Danielle Crandall | Nurse Practitioner | 4370 Brighton Dr, Grand Blanc, MI 48439-8086 | 2019-10-08 |
| 1417508417 | Shilpaben K Patel | Nurse Practitioner | 6062 Quartz Ln, Grand Blanc, MI 48439-7822 | 2019-09-23 |
| 1689191975 | Shari Orr | Nurse Practitioner | 19006 Wilson St, Grand Blanc, MI 48439-7201 | 2017-08-28 |
| 1588184436 | Kellie Renee Donastorg | Nurse Practitioner | 1113 Hunters Run Dr, Grand Blanc, MI 48439-6301 | 2017-06-21 |
| 1760898399 | Cheryl Brophy | Nurse Practitioner | 12215 S Saginaw St, Apt 5, Grand Blanc, MI 48439-1423 | 2014-07-02 |
| 1114357316 | Frances Michelle Bowling | Nurse Practitioner | 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443 | 2013-11-25 |
| 1396862223 | Kristi Jo Wilson | Nurse Practitioner | 8293 Office Park Dr., Grand Blanc, MI 48439 | 2007-03-24 |
| 1063043099 | Rebecca Escobar | Nurse Practitioner | 2313 E Hill Rd, Grand Blanc, MI 48439-5059 | 2020-01-29 |
| 1770127086 | Amanda O'guinn | Nurse Practitioner | 8273 S Saginaw St Ste C, Grand Blanc, MI 48439-2465 | 2019-10-30 |
| 1699328443 | Teresa Frances Harris | Nurse Practitioner | 2462 E Hill Rd, Grand Blanc, MI 48439-5427 | 2019-07-22 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on JENNIFER L CONNELL.
| 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.