DR. JESSICA NICOLE PASTVA


Address: 625 E Big Beaver Rd Ste 200, Troy, MI 48083-1434
Phone: 5868634000

DR. JESSICA NICOLE PASTVA (NPI# 1912524190) 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) 1912524190
Entity Type Individual
Full Name DR. JESSICA NICOLE PASTVA
Credential DNP
Practice Address 625 E Big Beaver Rd Ste 200
Troy
MI 48083-1434
Practice Telephone 5868634000
Practice Fax Number 5868634004
Mailing Telephone 5868634000
Mailing Fax Number 5868634004
Enumeration Date 2020-07-03
Last Update Date 2020-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
4704362341 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 625 E BIG BEAVER RD STE 200
City TROY
State MI
Zip Code 48083-1434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770828121 Paige Greaves Social Worker 625 E Big Beaver Rd Ste 200, Troy, MI 48083-1434 2012-12-11
1326699182 Jaimmie Ilana Koss Social Worker 625 E Big Beaver Rd Ste 200, Troy, MI 48083-1434 2019-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417420449 Thapasvi Muttirevula Physical Therapist 2422 Cedar Knoll Dr, Troy, MI 48083 2019-01-02
1114418290 Ann Katchke Physical Therapist 3179 Livernois Rd, Troy, MI 48083 2018-05-23
1518485945 Risa Rae Mendelson Counselor 1059 Owendale Street, Troy, MI 48083 2017-09-06
1497277115 Gassan Asadi Pharmacist 215 E Big Beaver Rd Ste 500, Troy, MI 48083 2017-07-14
1528510328 Dylan Skye Polasko Behavioral Analyst 2221 E 4th St, #101, Troy, MI 48083 2016-10-27
1235683061 Sadia Ghazi Technician, Other 3178 Daley Dr., Troy, MI 48083 2016-08-10
1548664345 Amber Leigh Ernst Social Worker 1225 E. Big Beaver Road, Troy, MI 48083 2014-10-22
1356782411 Michelle Louise Knoblock Nurse Anesthetist, Certified Registered 1560 E Maple Rd Ste 100, Troy, MI 48083 2013-07-17
1437400728 Oakland Physicians Surgery Center Clinic/Center 1560 E. Maple Road, Suite 100, Troy, MI 48083 2012-09-26
1861748238 Pro Med Substance Abuse Program LLC Psychologist 2891 E. Maple Rd. Suite 200, Troy, MI 48083 2012-08-03
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033495643 Jung Yoen Son Nurse Practitioner 2274 Golfview Dr, Apt 202, Troy, MI 48084-3848 2011-10-26
1619976388 Andrea Nicole Kwasky Nurse Practitioner 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 2005-07-15
1356959316 Daniel Grant Pecan Nurse Practitioner 2215 Burdett Ave, Troy, NY 12180-2475 2020-07-16
1740821958 Kerri Lyn Outlaw Nurse Practitioner 1330 Highway 231 S, Troy, AL 36081-3058 2019-09-30
1003468273 Kelly Lynne Mack Nurse Practitioner 2215 Burdett Ave, Troy, NY 12180-2466 2019-07-09
1487215604 Michael Franz Dunker Nurse Practitioner 550 Summit Ave, Troy, OH 45373-3047 2019-06-27
1811435217 Laurie Lavin Nurse Practitioner 2001 5th Ave, Troy, NY 12180-3482 2017-02-06
1245772292 Jacquelyn Terry Nurse Practitioner 1639 E Big Beaver Rd Ste 201, Troy, MI 48083-2054 2016-11-08
1316329006 Samantha Lynn Lucca Nurse Practitioner 2215 Burdett Ave, Troy, NY 12180-2466 2015-06-18
1033514930 Sage College Welness Center - Troy Nurse Practitioner 65 1st St, Troy, NY 12180 2014-11-04
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Competitor

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City TROY
Zip Code 48083

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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