JESSICA MARIE FAKHOURY (NPI# 1821585613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821585613 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE FAKHOURY |
| Practice Address |
1000 E Stadium Blvd Ste 1 Ann Arbor MI 48104-4616 |
| Mailing Address |
7147 Streamwood Dr Ypsilanti MI 48197-9523 |
| Practice Telephone | 7347693333 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TBD | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RN LICENSE | 4704315569 | 01 |
| Street Address |
1000 E STADIUM BLVD STE 1 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123857 | Catherine Elizabeth Renner | Nurse Practitioner | 24 Frank Lloyd Wright Dr Lbby L, Ann Arbor, MI 48105-9484 | 2020-08-05 |
| 1043844574 | Courtney Joy Young | Nurse Practitioner | 3071 Signature Blvd Apt E, Ann Arbor, MI 48103-6489 | 2020-02-24 |
| 1093350290 | Justin M Wilbert | Nurse Practitioner | 24 Frank Lloyd Wright Dr # L2300, Ann Arbor, MI 48105-9484 | 2019-11-12 |
| 1962900241 | Kimberly Jumpp-mehta | Nurse Practitioner | 2100 Springwood Ct, Ann Arbor, MI 48103-2396 | 2018-01-31 |
| 1255765582 | Sarah Pope | Nurse Practitioner | 1014 Island Drive Ct, Apt. 104, Ann Arbor, MI 48105-2027 | 2013-08-22 |
| 1265676233 | Mary Elizabeth Markle | Nurse Practitioner | 412 Longshore Dr, Ann Arbor, MI 48105-1624 | 2009-04-22 |
| 1316004609 | Nancy Agnes Prince | Nurse Practitioner | 1516 Bardstown Trl, Ann Arbor, MI 48105-2876 | 2007-01-03 |
| 1316056005 | Lori Joy Bennett | Nurse Practitioner | 2364 Bishop Ave, Ann Arbor, MI 48105-2248 | 2006-08-29 |
| 1265478176 | Gaia Kile | Nurse Practitioner | 210 Little Lake Dr, Suite 10, Ann Arbor, MI 48103-6218 | 2006-06-20 |
| 1124085972 | Carisalyn Nicole Cousin | Nurse Practitioner | 3174 Packard St, Ann Arbor, MI 48108-1947 | 2006-04-26 |
| Find all providers in ANN ARBOR | ||||
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| 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.