JESSICA SENOPOLE


Address: 22923 Phelps St, Clinton Township, MI 48036-2729
Phone: 5866288743

JESSICA SENOPOLE (NPI# 1942807441) 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) 1942807441
Entity Type Individual
Full Name JESSICA SENOPOLE
Credential NP-C
Practice Address 22923 Phelps St
Clinton Township
MI 48036-2729
Practice Telephone 5866288743
Mailing Telephone 5866288743
Enumeration Date 2020-10-07
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
4704309945 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
4704309945 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 22923 PHELPS ST
City CLINTON TOWNSHIP
State MI
Zip Code 48036-2729

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NPI Name Taxonomy Address Enumeration
1043728918 Joseph John Memminger IIi Pathology 23885 Denton St Ste B, Clinton Township, MI 48036 2018-01-13
1124563267 Melinda Fiends Social Worker 42950 Stepnitz, Clinton Township, MI 48036 2016-12-28
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1649413436 Robert B Hengehold Pharmacist 37165 Groesbeck Hwy., Clinton Twp., MI 48036 2009-04-09
1548408461 Rodolfo Sia Yapchai Internal Medicine 37900 Saddle Lane, Clinton Twp, MI 48036 2009-01-30
1811135775 Anthony Frank Balcerzak Rehabilitation Counselor 38516 N Gratiot Avenue, Clinton Twp, MI 48036 2009-01-30
1508034661 Laurie J Church Counselor 22800 Hall Rd Ste 240, Clinton Township, MI 48036 2008-02-12
1912128182 Phyllis Ann Billings-mcneil Social Worker 38251 Groesbeck Highway, Clinton Twp, MI 48036 2007-05-02
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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...

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NPI Name Taxonomy Address Enumeration
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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
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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
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Competitor

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City CLINTON TOWNSHIP
Zip Code 48036

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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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